Tag Archives: hhs

OIG: ALJ’s Overturn 56% of Provider Generated Appeals to QIC Audits

The HHS Office of Inspector General earlier this month released a report which studied the shockingly high overturn rate of provider generated appeals to private contract auditors employed by CMS to the Administrative Law Judge level.  The OIG found that 56% … Continue reading

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OIG Report: CMS Still Has Not Defined “Qualified” OP Practitioner

The Department of Health and Human Services Office of Inspector General released a report on October 10th, 2012 detailing the lack of CMS action on defining and limiting reimbursement for prosthetics and custom orthotics to “qualified” orthotic and prosthetic practioners as … Continue reading

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Busy Week in Washington Last Week…

Health care was a hot topic in Washington DC last week, and not just both sides impatiently awaiting the Supreme Court ruling on the constitutionality of the Affordable Care Act. The Department of Health and Human Services released a proposed … Continue reading

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HHS OIG Report Cites CMS Failure on Surety Bonds

The Department of Health and Human Services Office of the Inspector General has released a report detailing the failings of CMS on the use of surety bonds to recover overpayments made to fraudulent providers under the Medicare Part B program. … Continue reading

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IOM May Miss Essential Health Benefits Deadline

The Institute of Medicine, an independent agency made up of experts in the health care field and based in Washington DC, was mandated in the Affordable Care Act to produce a report recommending which health care services should be covered … Continue reading

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