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July 28, 2014

Recent Stories of Interest

From Report on Medicare Compliance - CMS plans to ditch a home health documentation requirement that plays a role in Medicare payment denials, according to the proposed home health payment system regulation published in the Federal Register on July 7. Under the proposal, physicians wouldn’t have to include narratives in their certifications of patient eligibility for home health, a move designed to ease the regulatory burden on home health agencies and physicians alike. Read more

Sometimes the words in hospital-physician contracts don’t match what actually transpires. That… Read more

Because it allegedly failed to return Medicaid overpayments within 60 days of… Read more

With Medicare Advantage and commercial payer audits on the upswing, there is… 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.

July 29, 2014
OIG's Testimony on Fed's Failure to Stop Wasteful Medicaid Financing Schemes

OIG posts testimony on federal government's failure to stop wasteful Medicaid financing schemes. http://go.usa.gov/5zSB

July 29, 2014
Vascular Solutions Settles False Claims Case Over Device Without FDA Approval

Vascular Solutions Inc. settles false claims case over device without FDA approval. www.justice.gov

July 25, 2014
Using Government Tools in Compliance Self-Audits

As reported in the July 28 issue of RMC, when the New York State Office of Medicaid Inspector General’s Bureau of Compliance posted a best practices for compliance programs as well as opportunities for improvement and inefficiencies, Greater Hudson Valley Health System in Middletown, N.Y., made a master list of all 197 items and evaluated how it stacked up against each one. Then it color coded them accordingly — green for “fully compliant,” yellow for “can be enhanced to best practice” and red for “action needed.” For more information, contact Steve Sugrue, vice president of compliance, real estate and audit, at ssugrue@ormc.org.

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