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Adverse Events | HHS-OIG
- https://oig.hhs.gov/reports-and-publications/featured-topics/adverse-events/
- Additionally, OIG is developing a toolkit to assist hospitals and other researchers working to identify adverse events and temporary harm events through medical record reviews. The toolkit will serve as a technical resource to assist the health …
Compliance | Office of Inspector General | Government …
- https://oig.hhs.gov/compliance/
- To help healthcare providers such as hospitals and physicians comply with relevant Federal health care laws and regulations, OIG creates compliance resources, which are often …
Self-Disclosure Information | Office of Inspector General
- https://oig.hhs.gov/compliance/self-disclosure-info/
- The Office of Inspector General (OIG) has several self-disclosure processes that can be used to report potential fraud in Department of Health and Human Services (HHS) …
Hospital Incident Reporting Systems Do Not Capture …
- https://oig.hhs.gov/oei/reports/oei-06-09-00091.asp
- Hospital Incident Reporting Systems Do Not Capture Most Patient Harm. 01-05-2012 | Report (OEI-06-09-00091) | Complete Report. Hospital incident reporting …
Medicare Overpaid $636 Million for Neurostimulator …
- https://oig.hhs.gov/oas/reports/region1/11800500.asp
- What OIG Found More than 40 percent of the health care providers covered by our audit did not comply with Medicare requirements when they billed for …
Compliance Guidance | Office of Inspector General
- https://oig.hhs.gov/compliance/compliance-guidance/
- OIG has developed a series of voluntary compliance program guidance documents directed at various segments of the health care industry, such as hospitals, nursing homes, third …
Enforcement Actions | Office of Inspector General
- https://oig.hhs.gov/fraud/enforcement/
- U.S. Attorney’s Office Recovers $2 Million From Autism Therapy Provider For Alleged False Healthcare Claims In District’s Largest TRICARE Settlement February 10, 2023 Criminal …
OIG Admits its Own Error Rate – RACmonitor
- https://racmonitor.medlearn.com/oig-admits-its-own-error-rate/
- The OIG claimed that 71 of 333 inpatient claims did not meet Medicare criteria for inpatient status. Of the 71 denials, only 44 were appealed. But the part that’s …
I. Physician Relationships With Payers | Office of …
- https://oig.hhs.gov/compliance/physician-education/i-physician-relationships-with-payers/
- The Medicare and Medicaid programs may review beneficiaries' medical records. Good documentation practice helps ensure that your patients receive appropriate care from you …
SE17017 - Office of Inspector General Reports …
- https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE17017.pdf
- In two recent reports, the Office of Inspector General (OIG) cites two significant issues in which hospitals are making coding errors on Medicare claims. …
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