Healthcare News & Insights

What hospitals can learn from latest OIG audit

The Office of the Inspector General (OIG) just completed another round of its hospital billing compliance audits. Based on its findings, hospitals can get an idea of what the feds are looking at right now – and how to avoid issues with their own billing and coding.

CMS offers deal for postponed RAC appeals — but there’s a catch

The Centers for Medicare & Medicaid Services (CMS) shut down its recovery audit contract (RAC) program because of a massive backlog of appeals. Now it’s offering a deal to hospitals to reduce the backlog, but should your facility take the bait? 

Medicare audits coming back: What CMS is looking for

Healthcare providers need to get ready — the recovery audit contract (RAC) program is being revived. 

Feds launch new round of prepayment meaningful use audits

The Centers for Medicare and Medicaid Services (CMS) has responded to charges that the federal EHR incentive program lacks critical oversight by conducting audits of some providers after they attest to meaningful use of EHRs. 

Report: EHR incentive program too easy to defraud

Could there be changes on the way for the federal EHR incentive program? A new government probe says the program doesn’t do enough to keep providers honest when applying for the program. 

Hospital has to return $589,705 in Medicare overpayments

Medicare paid Maine Medical Center — a 637-bed, acute-care hospital in Portland, ME — $340 million for 23,690 inpatient and 127,833 outpatient claims during calendar years 2009 and 2010. Now, the facility is returning $589,705 in Medicare overpayments.

4 keys for effective HIPAA audits

As some recent data breaches have shown, healthcare providers don’t just have to worry about outside hackers and thieves that are trying to access patients’ protected health information – they also must make sure their own employees aren’t violating patients’ privacy. 

Get ready for a Meaningful Use audit

Some healthcare providers receiving incentive payments for Meaningful Use of EHRs may find themselves subject to an audit soon. 

OIG audits: Two hospitals owe Medicare $1 million

For hospitals, conforming to federal billing requirements demands 100% compliance, all the time.

Most providers aren’t ready for HIPAA audits

The federal government has begun auditing healthcare organizations to find HIPAA violations – however, a new survey shows most providers aren’t ready.