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OIG

Gov’t charges 345, revokes billing privileges for 256

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10/13/2020

WASHINGTON – The Department of Health and Human Services Office of Inspector General, along with state and federal law enforcement partners, has conducted a national “telefraud” takedown involving more than $6 billion in alleged losses.

OIG: Medicare pays too much for non-invasive vents

Agency recommends CMS include E0466 in bid program ‘as soon as possible’
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09/22/2020

WASHINGTON – Medicare pays more for non-invasive ventilators than certain other payers, according to a new report from the Office of Inspector General.

OIG: ASP continues to exceed AMP for certain drugs

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03/10/2020

WASHINGTON – The average sales price for 11 drug codes in the third quarter of 2019 met CMS’s price substitution criteria by exceeding the average manufacturer price by 5% for two consecutive quarters or three of the previous four quarters, according to a

Large number of vets not receiving follow-up care for their sleep apnea, OIG says

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01/29/2020

WASHINGTON – The Veterans Health Administration is at risk of potentially spending $261.3 million over the next five years on sleep apnea devices and supplies that veterans will not use, according to the Office of Inspector General.

OIG criticizes supplier documentation for inhalation drugs

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11/05/2019

WASHINGTON – Not all suppliers comply with Medicare requirements when billing for inhalation drugs, according to the Office of Inspector General.

OIG to CMS: Adjust payments for orthotic devices

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11/05/2019

WASHINGTON – Medicare allowable amounts for certain orthotic devices are not comparable with payments made by select non-Medicare payers, according to the Office of Inspector General.

OIG to CMS: Collect Medicaid overpayments

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12/12/2018

WASHINGTON – CMS did not collect $1.6 billion in Medicaid overpayments in 77 current period audits and $188.6 million in seven prior period audits, according to a new report from the Office of Inspector General.

OIG to CMS: Take stronger look at ‘place-of-service’ claims

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07/02/2018

WASHINGTON – CMS’s edits didn’t detect $18.4 million in payments in 2015 for inappropriate claims for DME provided during non-covered stays in skilled-nursing facilities, according to a report from the Office of Inspector General.

VA slow to repair wheelchairs, OIG finds

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03/20/2018

WASHINGTON – The Office of Inspector General has found that veterans waited an average of 69 days for power wheelchair and scooter repairs, more than a month beyond a 30-day timeliness benchmark set by the agency, according to a new report.

OIG report is ‘slap on the wrist,’ providers say

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12/15/2017

YARMOUTH, Maine – A recent report on unlicensed suppliers receiving bid contracts re-opened old wounds for providers, who say it amounts to nothing more than a slap on the wrist for CMS.

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