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May 7, 2012

Recent Stories of Interest

From Report on Medicare Compliance - Some Medicare reviewers are entering new territory with sweeping audits of multiple types of hospital errors in one fell swoop. This echoes the Medicare compliance reviews conducted by the HHS Office of Inspector General, in which auditors hit eight to 16 hospital risk areas at the same time and evaluate internal controls as well. It’s a sign of the times, as the government tries to leverage data mining to expose as many potential errors as possible based on volume and value trending. Read more

Now that he is a compliance officer, James Sheehan — former federal… Read more

Some admissions for procedures on the Medicare inpatient-only list are being rejected… Read more

With the 60-day Medicare refund clock ticking like the telltale heart under… 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.

May 16, 2012
Temple University, Physician Settle Case Over Alleged Improper Billing

Temple University and a physician settle case over alleged improper billing. http://go.usa.gov/yWn

May 10, 2012
CMS Posts Rules on Conditions of Participation and Reducing Regulatory Burden

CMS posted rules on conditions of participation and reducing regulatory burden. www.ofr.gov/inspection.aspx

May 9, 2012
OIG Posts Report on Evaluation and Management Coding Trends

OIG posted a report on evaluation and management coding trends. http://go.usa.gov/Vyt

Updated Regularly

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