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OIG releases strategic plan


BALTIMORE – One of the Office of Inspector General’s (OIG’s) four goals for the next four years is to fight fraud, waste and abuse, according to a strategic plan released Nov. 21.

Poll: 41% have been waiting at least one year for hearing


YARMOUTH, Maine – Long delays have made appealing denied claims a painful process for HME providers, forcing them to wait sometimes years for payment.

In brief: Gov’t delays hearings, Cardinal highlights AssuraMed


WASHINGTON – The Office of Medicare Hearings and Appeals (OMHA) will defer assignments for hearings—possibly up to 28 months, according to a recent notice.

OIG finds payments for dead beneficiaries


WASHINGTON – Medicare paid $23 million in improper payments on behalf of deceased beneficiaries in 2011, according to an Oct. 31 report from the Office of Inspector General (OIG).

Opinion greenlights post-discharge services


WASHINGTON – An advisory opinion from the Office of Inspector General (OIG) provides a framework for how HME providers can offer services to reduce hospital readmissions without violating the anti-kickback statute.

Bidding: AAH abandons lawsuit, lawmakers apply pressure


WASHINGTON – AAHomecare has dropped its bid to stop competitive bidding in the courts.

Lawmakers support investigation into bid program


WASHINGTON – Lawmakers from Tennessee and Ohio have written to the Office of Inspector General (OIG), urging the agency to thoroughly investigate Round 2 of competitive bidding in their states.

In brief: CMS delays F2F rule again, Golden endorses Reverie


BALTIMORE – CMS had no choice but to delay—for the second time—enforcement of its face-to-face rule until sometime in 2014, say industry stakeholders. “We just haven’t seen any further education,*” said Kim Brummett, senior director of regulatory affairs for AAHomecare.

N.J. Medicaid could save by cutting test strip prices, OIG says


WASHINGTON – Reducing reimbursements to retail rates or establishing competitive bidding pricing could have saved New Jersey’s Medicaid program between $1.8 million and $2.7 million in 2011, the OIG reported in a Sept. 11 report.

OIG tackles bid savings and improper payments


WASHINGTON – The Texas Medicaid program could have saved $2 million in the Dallas/Forth Worth area alone if it had used competitive bidding pricing for certain DME items in fiscal year 2011, according to a new study from the Office of Inspector General (OIG).