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Office of The Inspector General (OIG) news from FierceHealthcare

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Health system sues OIG over alleged Medicaid overpayments

Three Utah hospitals have filed suit against the Medicaid Office of the Inspector General over a demand to repay overpaid emergency room claims, reported the Salt Lake City Tribune. The hospitals, Read more...

UPMC incorrectly billed Medicare for same-day readmissions

Following federal recommendations, the University of Pittsburgh Medical Center (UPMC) has refunded $26,547 for overcharging Medicare with incorrectly billed same-day readmissions, reported the Read more...

Hospital workers don't report 86% of patient harm events

Hospital workers reported only about 14 percent of the patient-safety incidents experienced by Medicare beneficiaries discharged in October 2008, according to a new report from the Office of the Read more...

OIG: Barred physicians prescribe $15M in drugs

The Centers for Medicare & Medicaid Services (CMS) has allowed physicians who are barred from prescribing under Medicare Part D to prescribe more than $15 million worth of drugs, according to the Read more...

CMS failed to report disciplined providers

Databases are only as good as the data within. Unfortunately, a national database of Medicare providers has more holes than expected, thanks to Centers for Medicare & Medicaid Services failure to Read more...

Hospital hid information from auditors

Dallas-based Parkland Memorial Hospital hid information from outside auditors working on behalf of federal government investigators, according to an internal memo that recently was recovered by the Read more...

Contractors were in no hurry to pursue Medicare cheaters

Contractors hired as private eyes to combat Medicare fraud have let cases go cold, Associated Press reports. Although $835 million in questionable Medicare payments were identified by private Read more...

SPOTLIGHT: Inspector general to narrow oversight of physician self referrals

The U.S. Office of the Inspector General has narrowed its focus on physician self referrals limiting providers' use of its self disclosure protocol to police kickbacks. The OIG reports that it is Read more...

HHS faces fraud, billing challenges in 2009

A new report by the HHS Office of the Inspector General concludes that protecting Medicare, Medicaid and the State Children's Health Insurance Program from fraud and billing mistakes will prove to be Read more...