Office of Inspector General Continues Focus on Home Health Agencies

The Department of Health and Human Services (HHS), Office of the Inspector General (OIG) issues updates to its work plan on a monthly basis through out the year. Since our last report on the OIG’s recent activity updates (NAHC Report https://report.nahc.org/recently-added-oig-work-plan-item-may-impact-home-health-and-hospice-providers/), the OIG announced this month a revision of an issue for home heath agencies…

OIG: CMS & States Must Work Together on Background Checks for Long-Term Care Employees

The Centers for Medicare & Medicaid Services (CMS) must help states completely implement background checks for long-term caregiver employees, according to a new report released by the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS). Nine million beneficiaries rely on long-term-care services each year for safe, dependable care and…

Recently Added OIG Work Plan Item May Impact Home Health and Hospice Providers

The Department of Health and Human Services (HHS) Office of Inspector General (OIG) work planning is dynamic and adjustments are made throughout the year to meet priorities and to anticipate and respond to emerging issues. A Work Plan has been developed, made public, and updated monthly with new issues.  This month, there are two new issues…

OIG: Non-Profit Hospital May Offer Free Home Care

A federal rule against offering patients free care does not prohibit a hospital from providing free home care if the goal is to reduce readmissions, according to an advisory opinion the Office of Inspector (OIG) General of the Department of Health and Human Services. The federal government forbids the provision of free services to patients…

OIG Adds Hospice Item to Work Plan

Recently the HHS Office of the Inspector General (OIG) added a hospice item to its work plan, Protecting Medicare Hospice Beneficiaries From Harm.  The OIG is planning a study to determine the extent and nature of hospice deficiencies and complaints and identify trends.  This study is a companion to Trends in Hospice Deficiencies and Complaints…

Reports: Medicare Advantage Plans Improperly Denying Claims

— Anthem Adds Home Care Benefits Under Relaxed Medicare Advantage Rule Medicare Advantage plans are improperly denying medical insurance claims to patients and physicians, according to a report from the Office of the Inspector General (OIG) of the Department of Health and Human Services (HHS) and a separate report in the New York Times. Roughly 20…