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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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