Healthcare IT Today
JANUARY 13, 2025
Melissa James, Senior Consultant, Health Language at Wolters Kluwer Health The 2024 OIG reports revealed significant overpayments tied to unsupported diagnosis codes, underscoring the urgent need for MAOs to bolster their compliance efforts. There’s still a need for a compliance framework that is.
Compliancy Group
FEBRUARY 7, 2024
Through a combination of data analysis, investigations, medical reviews, and site visits, UPICs scrutinize healthcare providers and suppliers to ensure compliance with billing rules and the provision of medically necessary services. The outcome of these audits can range from repayment of overpayments to criminal prosecution in cases of fraud.
HIPAA Journal
MAY 12, 2025
The Advisory Bulletin recommends that healthcare providers check the HHS OIG Exclusion List prior to employing a new member of the workforce or contacting a healthcare service, and that screening employees and contractors each month best minimizes potential overpayment and CMP liability.
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