OIG Finds Continued Procedural Errors in Hospital Outlier Payment Reconciliations
Recent OIG report exposes vulnerabilities.
In an earlier audit, the OIG found that cost reports weren’t always referred to CMS that qualified for reconciliation by Medicare contractors, as well as outlier payments associated with cost reports that had been referred weren’t always reconciled. This white paper reviews the recommendations that the OIG made to CMS.
Baker, Donelson, Bearman, Caldwell & Berkowitz, PC
Leslie Demaree Goldsmith is a shareholder at Baker, Donelson, Bearman, Caldwell & Berkowitz, PC. Ms. Goldsmith brings more than 25 years of experience to her practice, representing health care providers such as hospitals, home health agencies and skilled nursing facilities. She provides advice on Medicare and Medicaid reimbursement and regulatory issues involving conditions of payment and conditions of participation. Ms. Goldsmith's diverse experience includes issues involving PPS, provider-based status, wage index, bad debt, quality data, medical education (GME, IME, Nursing and Allied Health), DSH, and cost allocation, as well as billing and claims issues, the Two-Midnight rule, quality reporting, telemedicine, 340B and Medicare bundled payments.
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