OIG
publication date
Payer
Medicaid Managed Care Has High Rates of Prior Authorization Denials
A report by the Office of Inspector General (OIG) finds Medicaid managed care members may not be receiving all medically...
Revenue Cycle
5 Revenue Cycle Coding Stories You Missed
There were several coding stories you may have missed in June.
Payer
Medicare Overpaid $22.5M for Incorrect Place-of-Service Codes
The Office of Inspector General (OIG) uncovered overpayments in 2019 and 2020 for care provided to Medicare beneficiaries.
Revenue Cycle
4 OIG Updates for Rev Cycle Leaders
The Office of Inspector General (OIG) is eyeing improper payments, over payments, and denied claims.
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle Leaders
HealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle Leaders
HealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle Leaders
HealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...
Revenue Cycle
Long Island medical doctor sentenced to 30 months in prison for Medicare billing fraud scheme
Earlier today, in federal court in Central Islip, Morris Barnard, a gastroenterologist practicing in Great Neck, New York, was sentenced...
Revenue Cycle
Podiatrist pays $90K to settle false billing allegations
A 39-year-old Cypress man has agreed to pay to resolve allegations he submitted false claims for the placement of electro-acupuncture...
Revenue Cycle
The Useful 5: Regulatory Roundup for Rev Cycle Leaders
HealthLeaders' regulatory round up series highlights five essential governing updates that cover every aspect of the revenue cycle that leaders...
Revenue Cycle
Rev Cycle Documentation Errors Add Up to Almost $5M, OIG Says
The OIG found that incorrect modifier usage led to $4.9 million in overpayments.
Revenue Cycle
Crack Down on Appropriate Billing Makes OIG's List of Unimplemented Recommendations For 2022
CMS needs to ensure that hospitals bill appropriately moving forward, the OIG says.