Noteworthy News

HHS OIG Charts 2013 Investigations

financial paperworkThe U.S. Department  of Health and Human Services’ Office of the Inspector General (OIG) has revealed some of its investigative plans for 2013.

The OIG’s work plan includes a number of projects of interest to hospitals, including one on non-hospital-owned physician practices that bill Medicare for outpatient services as provider-based practices; an inquiry into whether Medicare payments to hospitals should be bundled for care provided to patients within 14 days of their discharge; a look at how the Centers for Medicare & Medicaid Services (CMS) monitors controversial Recovery Audit Contractors (RAC audits); and others.

Because they typically care for so many Medicare patients, urban safety-net hospitals are especially interested in any investigations that could affect their future Medicare reimbursement.

In all, the OIG’s work plan calls for 25 audits of how Medicare pays hospitals and more than 100 other payment-related inquiries.  Learn more about them in the OIG’s 148-page 2013 work plan document, which you can find here.

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