Noridian did not submit 10 Medicare cost reports to CMS for reconciliation and had not resolved the outlier payments from five of them.
The Department of Health and Human Service (HHS) Office of...
Medicare paid $22 million for ophthalmology medicare claims in 2012 that were potentially inappropriate.
The Department of Health and Human Service (HHS) Office of Inspector General (OIG) released the...
Boone Hospital did not fully comply with Medicare billing requirements, resulting in overpayments of $407,495.
The Department of Health and Human Service (HHS) Office of Inspector General (OIG)...
14 percent of hospitals are penalized $373M by CMS because of unacceptable rates of Hospital-Acquired Condition.
A report was released at the beginning of the month by the Department of Health and...
TrailBlazer claimed $14,114 in unallowable fiscal intermediary and carrier contract Excess Plan costs.
The Department of Health and Human Service (HHS) Office of Inspector General (OIG) released the...
OIG audit discovered the Hospital did not fully comply with Medicare billing requirements, resulting in $110,943 overpayment in Medicare claims.
The Department of Health and Human Service (HHS)...
Due to the incorrect classification of the Excess Plan as a pension plan, CGS claimed unallowable Excess Plan costs.
The Department of Health and Human Service (HHS) Office of Inspector General (OIG)...
A recent audit of Highmark Medicare Services found that the company claimed unallowable Medicare Benefits.
Recently, the Department of Health and Human Services (HHS) Office of Inspector General...
CMS compliance audits are a part of medical billing, but with the right steps, practices and hospitals don’t need to worry.
A popular topic on this website is the results of Medicare and Medicaid...
Palmetto Government Benefits Administrator unintentionally misfiled SERP III costs during the fiscal years 2010 and 2011.
Recently, the Department of Health and Human Services (HHS) Office of Inspector...
Billing errors related to cardiac medical device manufacturer’s credits led to $580,000 in overpayments during 2011.
The Department of Health and Human Services Office of Inspector General (OIG)...
Medicare noncompliance caused Queen’s Medical Center to receive $319,000 in overpayments during a three year audit period.
Recently, the Department of Health and Human Services (HHS) Office of...
A new study finds human error caused Oregon Health and Science University to receive overpayments between 2010 and 2012.
The Department of Health and Human Services (HHS) Office of Inspector General...
An estimated $1.4 million should have been recouped from healthcare providers and returned to Medicare.
According to a recent report from the Department of Health and Human Services’ Office of...
The Department of Health and Human Services Office of Inspector General (OIG) released is Medicare compliance review of Methodist Healthcare – Memphis Hospitals. Examining claims filed between...
Hackensack University Medical Center received overpayments in a sampling of 62 claims during an 18-month period.
The Department of Health and Human Services Office of Inspector General (OIG), released...
TrailBlazer claimed $137K in Medicare Part B termination costs and $1.1M in potentially unallowable severance pay termination costs.
Earlier this month, the Office of Inspector General (OIG) of the...
The Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) released the results of a compliance review of Mission Hospital in Asheville, North Carolina. The audit was...
Last week, the Texas Sunset Advisory Commission issued a less than positive report of the Texas Health and Human Services Commission (HHSC). The main takeaway is that the organization needs to undergo a...
In July 2014, the Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) released the results of a Medicare compliance audit of Orlando Health. Conducted between...
