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McBrayer Blogs
Showing 2 posts in 340B Program.
Tidbits and Takeaways from OIG’s 2016 Work Plan
Posted In "Two Midnights Rule", 340B Program, Centers for Medicare & Medicaid Services (“CMS”), Hospice, Office of Inspector General of the United States Department of Health and Human Services (OIG), Skilled Nursing Facilities (“SNFs”)
The Office of Inspector General for Health and Human Services (“OIG”) recently issued its 2016 Work Plan, which sets the agenda for its auditing and investigation in the year ahead. The broad mandate of the OIG is to eliminate fraud, waste and abuse. With the requested FY 2016 budget of $417 million, the OIG will continue its fraud-fighting efforts and heighten it focus on reducing waste in HHS programs. Waste includes not only fraud, but also unnecessary services, inefficient delivery of care or service, poor quality of care or services, inflated prices, excess administrative costs, or mismanagement of grant or contract funds. With a 2015 track record of $3 billion in recoveries; 4,112 provider exclusions from participation in federal health care programs; 925 criminal actions and 682 civil and administrative enforcement actions and a return on investment of $8 for every $1 spent, the OIG is a force to be avoided. The yearly work plan provides a list of priorities for the office, and in turn gives providers insight into areas of concern in practice. The following areas are on OIG’s radar for the coming year: More >
Nearly Two-Thirds of CAHs’ Status in Jeopardy
Posted In 340B Program, Centers for Medicare & Medicaid Services (“CMS”), Condition of Participation ("CoP"), Critical Access Hospitals (“CAHs”), Office of Inspector General of the United States Department of Health and Human Services (OIG)
On August 15, 2013, the Office of the Inspector General of the Department of Health and Human Services (“OIG”) released a report entitled “Most Critical Access Hospitals Would Not Meet the Location Requirements if Required to Re-enroll in Medicare” (“Report”). If the recommendations in the Report are fully executed, it would cause a detrimental blow to rural hospitals. There are approximately 1,300 critical access hospitals (“CAHs”) currently in operation. More >
