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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-party billers, and durable medical equipment suppliers, to encourage …
Hospitals Did Not Comply With Medicare Requirements …
- https://www.oig.hhs.gov/oas/reports/region1/11800502.asp
- What OIG Found. For 3,233 of the 6,558 Medicare claims that we reviewed, hospitals likely did not comply with Medicare requirements associated with reporting …
Payment Credits for Replaced Medical Devices That …
- https://oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000085.asp
- Certain medical devices are implanted during inpatient or outpatient procedures. Such devices may require replacement because of defects, recalls, mechanical complication, …
OIG Issues Favorable Advisory Opinion for Physician-Owned …
- https://www.sheppardhealthlaw.com/2022/06/articles/office-of-the-inspector-general-oig/oig-issues-favorable-advisory-opinion-for-physician-owned-medical-device-company/
- On April 25, 2022, the Office of Inspector General (“OIG”) issued Advisory Opinion No. 22-07 which evaluated the risk of fraud and abuse under the federal anti …
Medical Device Manufacturer Biotronik Inc. Agrees To …
- https://oig.hhs.gov/fraud/enforcement/medical-device-manufacturer-biotronik-inc-agrees-to-pay-1295-million-to-settle-allegations-of-improper-payments-to-physicians/
- Medical Device Manufacturer Biotronik Inc. Agrees To Pay $12.95 Million To Settle Allegations of Improper Payments to Physicians Biotronik Inc. (Biotronik), a medical …
Hot OIG Target Area: OPPS Outlier Payments and Implantable …
- https://racmonitor.medlearn.com/hot-oig-target-area-opps-outlier-payments-and-implantable-medical-device-credits/
- A simple example is: a) replacement cost = $10,000; b) partial or 50 percent-or-greater device credit = $7,000; and c) hospital mark-up for the device = 2.5 x. …
III. Physician Relationships With Vendors | Office of …
- https://oig.hhs.gov/compliance/physician-education/iii-physician-relationships-with-vendors/
- Some physicians welcome visits from pharmaceutical salespeople, while other physicians prefer not to directly engage with industry representatives. If you decide to make your …
SFA speaker programs 11.13 v2 - Office of Inspector …
- https://oig.hhs.gov/documents/special-fraud-alerts/865/SpecialFraudAlertSpeakerPrograms.pdf
- and device companies have reported paying nearly $2 billion to HCPs for speaker-related services. 1 . The Office of Inspector General (OIG) and Department of Justice (DOJ) …
Hospitals Did Not Comply With Medicare Requirements …
- https://www.oig.hhs.gov/oas/reports/region5/51600059.asp
- Recalls of medical devices can be quite costly to the Medicare program. A recent OIG review estimated that services related to the replacement of seven recalled …
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