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April 27, 2015

Recent Stories of Interest

From Report on Medicare Compliance - CMS was given more tools to reduce overpayments and fraud in the 2015 Medicare Access and CHIP Reauthorization Act (H.R. 2), which passed the Senate on April 14 and was signed into law by President Obama on April 16. Although the legislation was primarily designed to repeal the sustainable growth rate (SGR) formula for physician reimbursement, it also contains significant program-integrity provisions, echoing the fraud and abuse mandates in the Affordable Care Act, which are still being rolled out. Read more

If hospitals and physicians are not already reviewing their use of chemotherapy… Read more

For the second time in six months, a hospital has settled a… Read more

Even though he spoke at department meetings and walked the halls of… 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 16, 2015
OIG: Fla. Hospital Orlando Owes $11M

The HHS Office of Inspector General said Florida Hospital Orlando owes Medicare $11 million, according to a Medicare compliance review. http://go.usa.gov/3WyQF

March 19, 2015
Feds Claim $28B Returned to Medicare Via Fraud Program

DOJ and HHS say $27.8 billion has been returned to Medicare since Health Care Fraud and Abuse Control Program began in 1997.

March 17, 2015
OIG: Northwestern Was Overpaid $6.4M

OIG Medicare compliance review says Northwestern Memorial Hospital was overpaid $6.4 million. http://go.usa.gov/3CNdm

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