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April 14, 2014

Recent Stories of Interest

From Report on Medicare Compliance - The immense Medicare payment difference between mechanical ventilation provided for more than or fewer than 96 hours apparently explains why hospitals are facing a national review by the HHS Office of Inspector General. Recovery audit contractors (RACs) already jumped on this risk area, which lends itself to large-dollar recoupments if documentation doesn’t support the patient’s uninterrupted use of the ventilation machine. The external audits of “continuous invasive mechanical ventilation” make this area ripe for internal reviews, experts say. Read more

A new frontier in the battle against fraud, waste and abuse was… Read more

CMS has grand plans for its new unified program integrity contractors (UPICs),… Read more

Hospitals and other providers sometimes assume they have to bill for all… 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.

April 23, 2014
Amedisys Agreed to Pay $150M to Settle False Claims Allegations

Amedisys Inc. agreed to pay $150M to settle false claims allegations over home health care billings to Medicare. www.justice.gov.

April 10, 2014
OIG: Compliance With Home Health Face-to-Face Documentation Requirement Isn't Good

OIG: compliance with home health face-to-face documentation requirement isn't good. http://go.usa.gov/k2Qe

April 9, 2014
OIG Posts Another kwashiorkor Audit, This One of Oakwood Hospital

OIG posted another kwashiorkor audit, this one of Oakwood Hospital and Medical Center. http://go.usa.gov/kg9x

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