YouCompli
MARCH 22, 2023
There has been significant enforcement over the last couple years relating to overpayments for UDT. The overpayment rate for definitive drug testing for 22 or more drug classes was over 71%. The government argued that before ordering definitive UDT, a provider first needs to review the results of the presumptive test.
Healthcare Law Blog
AUGUST 25, 2023
On August 21, 2023, the New York State Office of the Medicaid Inspector General (OMIG) announced updates to the Medicaid overpayment self-disclosure program, which now includes an abbreviated process for reporting and explaining overpayments that are considered routine or transactional in nature and have been already voided and adjusted.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.
YouCompli
FEBRUARY 22, 2023
Allegedly, the facility also failed to fully reimburse the government for its receipt of these outlier payments after it became aware of the issue. The government alleged these increased charges resulted in the greater number of outlier payments. Return illegitimate reimbursement and overpayments quickly.
Healthcare Law Blog
FEBRUARY 3, 2023
Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1] New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R.
Healthcare Compliance Blog
MARCH 16, 2022
Erskine stated, “Nursing home facilities provide important services to our elderly; however, those facilities must uphold the trust placed in them by billing the government only for reasonable and necessary services. Periodically audit to ensure that skilled rehabilitation services being provided to residents are reasonable and necessary.
Innovaare Compliance
MARCH 1, 2022
4] Multiple reasons accounted for the rising expenditures for MA beneficiaries which will be subject for a different blog. 6] Improper payments can be overpayments and underpayments. In fact, spending per enrollee in MA plans is projected to grow 5.3% annually on average between 2021 and 2029 compared to 4.4%
Health Law RX
JANUARY 30, 2024
A failure to maintain an effective compliance program may become particularly problematic for companies with business transactions on the horizon as the government increasingly incentivizes business professionals to give compliance a seat at the deal table. Gandle, for her contribution to this blog post. Ensure Ongoing Compliance.
Expert insights. Personalized for you.
52 
Let's personalize your content