News & Analysis as of

Medicare Medicare Outlier Payment Rules

Health Care Compliance Association (HCCA)

Report on Medicare Compliance Volume 29, Number 32. News Briefs: September 2020

Report on Medicare Compliance Volume 29, no. 32 (September 14, 2020) -  In an audit of 100 outlier payments, the HHS Office of Inspector General (OIG) said Baylor Scott & White – College Station, a hospital in Texas, didn’t...more

Baker Donelson

Court Upholds Procedural Validity of HHS's Outlier Reconciliation Instructions

Baker Donelson on

On December 26, 2017, the United States Court of Appeals for the District of Columbia Circuit upheld the procedural validity of 2010 manual instructions setting out the criteria by which Medicare outlier payments might be...more

Baker Donelson

OIG Finds Continued Procedural Errors in Hospital Outlier Payment Reconciliations

Baker Donelson on

The U.S. Department of Health and Human Services, Office of Inspector General (OIG) recently released a report concluding that there are vulnerabilities in the process of reconciling Medicare hospital outlier payments....more

Hinshaw & Culbertson LLP

Significant Hospital Related Mid-Year Updated OIG Review Activities

This is the second of three alerts discussing the mid-year update to the Fiscal Year 2016 Work Plan issued by the Office of Inspector General (OIG). In the first alert we discussed the top management performance challenges...more

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