Several hospitals and health systems across the U.S. were tagged by the HHS Office of the Inspector General for billing errors this year. 1. St. Joseph’s Hospital Health Center, a 451-bed hospital in ...

Prolia (denosumab) is a medication for osteoporosis. A healthcare professional administers Prolia via injection under the skin every 6 months. Medicare covers Prolia for beneficiaries. Since a ...

The Office of the Inspector General (OIG) has been cracking down recently on Medicare overpayments to hospitals. Following an audit report done on March 13, OIG found that Boston's Brigham and Women's ...

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In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

To determine whether Medicare claims that North Mississippi submitted for polysomnography services complied with Medicare requirements, the OIG reviewed a stratified random sample of 100 beneficiaries ...

In the Furthering Access to Stroke Telemedicine (FAST) Act, passed as part of a budget omnibus in 2018, Congress permanently expanded Medicare payment for telemedicine consultations for acute stroke ( ...

This year ushered in many changes affecting reimbursement for healthcare providers, but few are as important as the new Physician Fee Schedule from the Centers for Medicare & Medicaid Services (CMS) ...

Medicare Part A and Medicare Advantage plans may cover respite care as part of hospice care coverage, potentially covering 95% of eligible costs for up to 5 consecutive days. The respite care must be ...