Payback time: OIG audits uncover overpayments at 3 hospitals

The last thing any hospital administrator wants is to be audited by the Office of the Inspector General (OIG). Especially now that the Centers for Medicare & Medicaid Services on June 1st will launch the next leg of its Recovery Audit Prepayment Reviews — an aggressive program to deter overpayments due to fraud and errors. Read more

RACs target hospitals: Protect your facility from lost revenue

Guess which hospital area garnered 41% of the total $992.7 million overpayment collections made by Medicare’s Recovery Audit Contractors (RACs) during the demonstration phase? Read more

ACOs moving full speed ahead

Looks like the Medicare Shared Savings Program, which offers financial incentives for hospitals, physicians and other healthcare providers to team up in Accountable Care Organizations  (ACOs), is starting to pick up speed. Read more

Feds charge Texas doc with $375M Medicare fraud

The feds have filed charges alleging a Texas doctor perpetrated the largest health care fraud in U.S. history. Read more

Congress reaches deal on Medicare payments

Good news — but not great news: Congress has reached a deal that cancels the planned steep cut to physician’s payments. Read more

Report: 86% of patient injuries go unreported

Hospitals’ incident reporting systems are only registering about 14% of patient injuries, according to a new study.  Read more

Medicare to penalize hospitals for unnecessary readmissions

Beginning in late 2012, hospitals will be penalized for unreasonably high readmission rates for patients treated for pneumonia, heart attacks and heart failure. Read more

Supercommittee fails: What does it mean for health care?

The so-called Supercommittee intended to reach a bipartisan deal for the federal budget has officially failed — and health care pros are scrambling to figure out what it means for their organizations. Read more

Podiatrist nabbed for fraud after billing double amputee

A Maryland podiatrist has pleaded guilty to fraud and identity theft after billing over $1M in false Medicare charges for providing services to a patient with no feet — and after he had already been banned from federal health programs.  Read more

Hospital hit with $3.8M fine for fraud

Ohio Valley Health Services and Education Corp. has agreed to pay $3.8 million in fines to settle allegations of Medicare and Medicaid fraud. Read more

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