Tag Archives: audit

I’ll Gladly Pay You 10 Years From Today for Care Already Provided

By Robert M. Wolin on April 14, 2016 Posted in Uncategorized

Most providers whose claims have been determined to be improper by the Recovery Audit Contractors (RACs) under the Medicare Recovery Audit Program have discovered that the appeals backlog “is incontrovertibly grotesque.” Two Courts of Appeals have recently acknowledged that the Office of Medicare Hearings and Appeals (OMHA) has a 10-year backlog of more than 800,000 … Continue Reading

OIG Emphasizes Proactive Enforcement of Privacy Rule and Monitoring of Repeat Offenders

By Lynn Sessions and Suchismita Pahi on November 16, 2015 Posted in Uncategorized

The Office of Inspector General’s (OIG) recently released Privacy Standards report assessed the Office for Civil Rights’ (OCR) oversight of covered entities’ compliance with the Privacy Rule as well as the extent to which Medicare Part B providers are aware of HIPAA privacy standards. To that end, the OIG found that Part B providers fell … Continue Reading