Oig Medical Coding

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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 tailored to particular providers. OIG's compliance documents include special fraud …

The OIG Focus on Clinical Coding - mrahis.com

https://www.mrahis.com/blog/the-oig-focus-on-clinical-coding

For Clinical Coding Professionals, these OIG Audit Reports serve as “red flags” of noncompliance and provide direction on areas of weakness and those prone …

Avoid these missteps to slash your medical coding audit …

https://www.ama-assn.org/practice-management/cpt/avoid-these-missteps-slash-your-medical-coding-audit-risk

The OIG has released a roadmap to help new physicians avoid medical billing fraud and abuse in the Medicare and Medicaid programs. But this advice also …

Active Work Plan Items - Office of Inspector General, …

https://www.oig.hhs.gov/reports-and-publications/workplan/active-item-table.asp

The National Institutes of Health (NIH) is the primary Federal agency that …

After OIG says hospitals may be engaging in upcoding, …

https://www.hfma.org/legal-and-regulatory-compliance/medicare-compliance-rac-oig/after-oig-says-hospitals-may-be-engaging-in-upcoding-cms-and-ah/

The HHS Office of Inspector General says a significant rise in high-severity inpatient admissions with no corresponding increase in length of stay indicates a possible …

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. …

About OIG | Office of Inspector General | Government …

https://oig.hhs.gov/about-oig/

Since its 1976 establishment, the Office of Inspector General (OIG) has been at the forefront of the Nation's efforts to fight waste, fraud and abuse and to improving the …

Medicare Advantage Compliance Audit of Diagnosis …

https://oig.hhs.gov/oas/reports/region7/71601165.asp

What OIG Found Humana did not submit some diagnosis codes to CMS for use in the risk adjustment program in accordance with Federal requirements. First, …

Coding Compliance: Practical Strategies for …

https://library.ahima.org/doc?oid=58837

Coding Compliance Program Corporate compliance programs are seen as an effective mechanism to assure compliance with regulations and minimize risk of fraud. A …

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