Subscribe to RSS - OIG


OIG certifies CMS’s fraud savings


WASHINGTON – The Office of Inspector General has certified $133.2 million of actual and projected savings from CMS’s Fraud Prevention System, a return of investment of $2.84 for every dollar spent on the system.

OIG report includes DME items


WASHINGTON – The Office of Inspector General included in its semiannual report to Congress a recommendation that the New York Medicaid program could have saved an estimated

PMD claims without G code are suspect, OIG says


WASHINGTON – The Office of Inspector General (OIG) calls into question claims for power mobility devices (PMDs) without corresponding G-code claims in a new report.

OIG adds fifth bid study


WASHINGTON – The Office of Inspector General (OIG) has agreed to investigate the impact of competitive bidding on access to DME.

Back in July, 137 lawmakers, including Rep. Tom Price, R-Ga., asked the OIG to conduct the study.

Price extends deadline for letter


WASHINGTON – Industry stakeholders now have until July 18 to help Rep.

Does mail-order program meet requirement?


WASHINGTON – CMS may want to consider whether subsequent rounds of its national mail-order program for diabetes supplies meet a 50% requirement outlined in the Medicare Improvements for Patients and Providers Act (MIPPA).

‘Dear Colleague’ letter calls for review of bid program


WASHINGTON – A “Dear Colleague” letter circulating through Congress calls on the Office of Inspector General to review the competitive bidding program before its 2016 expansion, according to a VGM bulletin.

Bid program would save Medi-Cal millions, OIG says


WASHINGTON – Medi-Cal, California’s Medicaid program, could have saved $3.9 million on standard power wheelchairs, oxygen systems and oxygen concentrators in 2011 by using a competitive bidding program, the Office of Inspector General (OIG) has found.

Medicaid fraud units secure thousands of convictions


WASHINGTON – Nationwide, Medicaid Fraud Control Units (MFCU) in 2013 secured 1,341 criminal convictions and 879 civil settlements and judgments in cases involving Medicaid fraud and patient abuse and neglect, according to a report from the Office of Inspector General (OIG).

OIG outlines work plan


WASHINGTON – The Office of Inspector General (OIG) has several new HME-related projects in the works for 2014, including a review of the reasonableness of the Medicare fee schedule.