Topic
Program Integrity
26 published works
Health Care and Life Sciences
Continuing the Spotlight on Medicare Providers and Suppliers: New OIG Report Details Program Integrity Problems with Newly Enrolled Medical Equipment Suppliers
By George B. Breen, Amy Lerman
According to a new report released in December 2011 by the Office of Inspector General ("OIG"), more than 25 percent of all durable medical equipment ("DME") suppliers faced enforcement actions…
Health Industry Washington Watch
GAO Report Examines Effectiveness of Medicare Integrity Program.
The GAO has examined how CMS has used increased Medicare Integrity Program (MIP) funding, which reached $1 billion in 2010, to address Medicare program integrity. The GAO concluded that while CMS…
Health Industry Washington Watch
CMS Proposes Additional Changes to DMEPOS Supplier Standards
The Centers for Medicare & Medicaid Services (CMS) published a proposed rule on April 4, 2011 that would update the Medicare participation standards for suppliers of durable medical equipment, prosthetics,…
Health Industry Washington Watch
GAO Report on Medicare Contracting Reform
The GAO has issued a report entitled “Medicare Contracting Reform: Agency Has Made Progress with Implementation, but Contractors Have Not Met All Performance Standards.” The report discusses CMS’s transition of claims administration…
Health Industry Washington Watch
Medicare Contractors Prepare for Enhanced Program Integrity Efforts
On March 26, 2010, CMS issued a notice to contractors announcing the need for a series of conference calls to discuss plans to “significantly enhance the use of technology to…
Health Industry Washington Watch
CMS Transmittal Highlights Program Integrity Issues for Medicare Contractors
On January 15, 2010, CMS issued a transmittal on “Various OIG Reports that have Medical Review Implications.” The transmittal instructs Medicare contractors to take steps to strengthen program safeguards to…