The Office of Inspector General (OIG) recently conducted an audit to determine the financial impacts of expanding CMS’ hospital transfer policy for discharges to post-acute care to include all MS-DRGs.Read More »
Providers must do everything in their power to prevent payers from conducting a high number of audits at their organization. “Make sure that you’re doing proactive internal audits,” says Sandy Giangreco Brown, MHA, BS, RHIT, CCS, CCS-P, CHC, COC, CPC, CPC-I, COBGC, PCS, director...Read More »
The Office of Inspector General (OIG) recently released an audit report on prior authorization and payment denials by Medicare Advantage Organizations (MAO). The result raised OIG concerns about certain MAO denial practices impacting beneficiary access to medically necessary care.Read More »
NAHRI members learned about the latest association news, tips for managing the unwinding of COVID-19 public health emergency (PHE) waivers, and more on the April 25 NAHRI Quarterly Call.Read More »
The Office of Inspector General (OIG) announced it will audit CMS’ use of remote patient monitoring services. The review will focus on the nature of these services, as well as the characteristics of Medicare enrollees who use them.Read More »
