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 September 24, 2024, OIG released a report recommending that CMS exercise additional oversight of remote patient monitoring (RPM) services provided to Medicare beneficiaries. Medicare reimburses RPM for any chronic or acute...more
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