John Whittaker

John Whittaker

King & Spalding

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OIG Report Finds CMS Made an Estimated $94 Million in Incorrect Medicare EHR Incentive Payments to Acute-Care Hospitals

On December 12, 2019, OIG released a report finding that CMS made an estimated $94 million in incorrect Medicare incentive payments to acute-care hospitals for using electronic health records (EHRs) over an audit period from...more

1/6/2020  /  Audits , Centers for Medicare & Medicaid Services (CMS) , EHR , HITECH Act , Hospitals , Incentive Awards , Information Reports , MACs , Medicare , OIG

OIG Study Raises Concerns About Improper Claim Denials by Medicare Advantage Plans

A recent study by OIG found that a high number of claims denied by Medicare Advantage Organizations (MAOs) were overturned upon appeal and that CMS audits persistently found inappropriate claim denials. OIG is concerned that...more

10/26/2018  /  Centers for Medicare & Medicaid Services (CMS) , Medicare , Medicare Advantage , Medicare Advantage Organizations (MAOs) , OIG
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