OIG Planning for Nationwide Hospice Eligibility Audit in 2023

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A nationwide audit of hospice eligibility, with a focus on Medicare beneficiaries who have not had an inpatient ER or hospital stay prior to starting hospice care is planned for 2023 by the Office of the Inspector General (OIG) of the Department of Health & Human Services. According to OIG, previous compliance audits on hospice […]

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OIG Planning for Nationwide Hospice Eligibility Audit in 2023

By:

A nationwide audit of hospice eligibility, with a focus on Medicare beneficiaries who have not had an inpatient ER or hospital stay prior to starting hospice care is planned for 2023 by the Office of the Inspector General (OIG) of the Department of Health & Human Services. According to OIG, previous compliance audits on hospice […]

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Heightened CMS Medicaid Oversight Could Lead to Audits, Red Tape

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The Centers for Medicare & Medicaid Services (CMS) announced Tuesday, June 26, that it is moving forward with an initiative “to strengthen Medicaid program integrity,” with plans for stricter enforcement of federal rule compliance, tighter regulation of contracts between sates and private insurance, greater oversight of beneficiary eligibility, and a beefed-up audit system. Medicaid spending […]

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