On January 3, 2025, OIG posted the results of an audit that found that Medicare could have saved $7.7 billion if critical access hospitals’ (CAH) payments for swing-bed services were similar to those of the fee-for-service...more
1/22/2025
/ Audits ,
Bi-Partison Balanced Budget Act (BBA) ,
Centers for Medicare & Medicaid Services (CMS) ,
Critical Access Hospitals ,
Fee-for-Service ,
Health Care Providers ,
Healthcare Costs ,
Healthcare Facilities ,
Hospitals ,
Medicare ,
OIG ,
Payment Systems ,
Rural Health Care Providers ,
Skilled Nursing Facility
On August 12, 2024, OIG announced the results of an audit of payments made to hospitals for inpatient claims with the Medicare Severity Diagnosis-Related Groups (MS-DRGs) that require ninety-six hours of consecutive...more
8/30/2024
/ Audits ,
Billing ,
Centers for Medicare & Medicaid Services (CMS) ,
Extrapolation ,
Hospitals ,
Inpatient Billing ,
Inpatient Rehab Facilities ,
Medicare ,
OIG ,
Overpayment ,
Policies and Procedures