Oig Medical Record Reviews

Update to HHS OIG RFP marks changes to SOW - FedHealthIT

https://www.fedhealthit.com/2021/08/cms-rfp-medical-record-review-and-consultative-services/

Occasionally it may include assessment of services and claims for Medicaid or Medicare Part D. Based on prior experience, the resulting contract(s) will require …

HHS OIG Sources Sought: Medical Record Review and

https://www.fedhealthit.com/2020/07/hhs-oig-sources-sought-medical-record-review-and-consultative-services-for-medicare-part-a-and-b/

Department of Health and Human Services ( HHS ), Office of Inspector General (OIG), Acquisitions Division (AD), Washington, DC is pursuing the acquisition of …

Importance of Documentation | Office of Inspector …

https://oig.hhs.gov/newsroom/oig-podcasts/importance-documentation/

Good documentation is important to protect our programs. Accurate documentation ensures the Federal health care programs pay the right amount—not too …

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/

CMS’s reply, signed Jan. 11 by Seema Verma, who led the agency during the Trump administration, stated that “in the absence of medical record reviews conducted …

OIG Issues Report Suggesting Medicare Advantage

https://www.foley.com/en/insights/publications/2021/09/oig-issues-report-medicare-advantage-companies

Medicare Advantage Risk-Adjustment Data - Targeted …

https://www.oig.hhs.gov/reports-and-publications/workplan/summary/wp-summary-0000422.asp

Medicare Advantage Risk-Adjustment Data - Targeted Review of Documentation Supporting Specific Diagnosis Codes. Payments to Medicare Advantage (MA) …

HHS OIG: Medicare Advantage Companies …

https://www.natlawreview.com/article/oig-issues-report-suggesting-medicare-advantage-companies-perform-chart-reviews-and

OIG reported that these twenty companies generated 54% of the risk-adjusted payments solely from chart reviews or HRAs but they only had 31% of the MA beneficiaries …

Audits, Inspections, and Evaluations | Office of Inspector …

https://www.oig.dhs.gov/reports/audits-inspections-and-evaluations

Feb 7, 2023

SE17017 - Office of Inspector General Reports …

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/SE17017.pdf

Specifically, the OIG looked at the MS-DRG 207 (Respiratory system diagnosis [with] ventilator support 96+ hours) and MS-DRG 870 (Septicemia or severe …

Office of Inspector General (OIG) - JE Part B - Noridian

https://med.noridianmedicare.com/web/jeb/cert-reviews/oig

Since its 1976 establishment, the Office of Inspector General of the U.S. Department of Health & Human Services (HHS) has been at the forefront of the Nation's …