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February 8, 2016

Recent Stories

From Report on Medicare Compliance - It may not take much to lose hospital reimbursement for inpatient rehabilitation services because Medicare has exacting coverage guidelines that are considered the foundation of medical necessity. Audits are picking up steam in some regions, and a lapse in just one of the Medicare coverage guidelines jeopardizes payment for the entire inpatient rehab stay, which typically runs into the tens of thousands of dollars, experts say. Read more

A wave of settlements with the HHS Office of Inspector General (OIG)… Read more

It may bend their minds, but CMS now says that hospitals won’t… Read more

You wouldn’t think the word “arrangement” could lord it over the word… Read more

From the Editor

Welcome to your Report on Medicare Compliance subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, links to government documents and more!

Please e-mail me with your comments on the last issue of Report on Medicare Compliance, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

February 8, 2016
OIG Posts Report on Hospital's Errors in Kwashiorkor Billing

OIG breaks down Promise Hospital of Ascension's incorrect ‪Medicare‬ billing for ‪Kwashiorkor‬ in a new report.

February 3, 2016
Medicare Overpaid University of Minn. $3.3M

University of Minnesota Medical Center was overpaid $3.3 million, according to a Medicare compliance review.

January 29, 2016
PO Modifier FAQs

To view CMS’s FAQs on the off-campus provider-based department ‘PO’ modifier, click here

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