Don’t forget about Medicaid: 2009 OIG Work Plan highlights compliance concerns
Health Care Auditing Strategies, February 1, 2009
This is an excerpt from a member only article. To read the article in its entirety, please login.
The OIG focuses many of its planned Medicaid audits, reviews, and investigations on state agencies and their program operations. For example, the OIG will review state processes for enrolling Medicaid providers. According to the Work Plan:
States are required to collect information from providers regarding the ownership of healthcare entities and criminal convictions as part of the enrollment process for participating in federal healthcare programs. However, there is no corresponding requirement that states verify the information.
Just because many audits are state-focused doesn’t mean providers can breathe easy when it comes to -Medicaid compliance enforcement from government enforcers. Be aware that many items directed toward state agencies will have an effect on providers, says Sara Kay Wheeler, partner at King & Spalding in Atlanta. In other words, the OIG’s reviews of state agencies will likely result in those states agencies performing more reviews and audits on providers in that state, Wheeler says. “Some, but not all, of these efforts that are focused on states will have a trickle-down effect,” she says.
This is an excerpt from a member only article. To read the article in its entirety, please login.
Comments
0 comments on “Don’t forget about Medicaid: 2009 OIG Work Plan highlights compliance concerns ”
Related Products
-
Briefings on The Joint Commission
Briefings on The Joint Commission will help you with all of your accreditation and survey preparation needs. Every month...
-
Healthcare Life Safety Compliance
Learn Life Safety Code tips and interpretations for healthcare facilities with this in-depth monthly resource.
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Medicare Compliance and Risk Management
Under The Patient Protection and Affordable Care Act (PPACA), long-term care facilities are expected to establish a...
-
2012 OIG Work Plan for Hospitals: Top Issues for Auditing
During this 90-minute audio conference, our expert panel walks you through this year's compliance hot-spots, offers...
Most Popular
- Articles
-
- HIPAA Q&A: Flu shot requirement for hospital employees
- HealthDataInsights posts new issues for medical necessity claims
- Running an effective peer review committee meeting
- Q&A: Incidental disclosures and patient privacy
- New FAQ posted on storing laryngoscope blades
- Sneak Peek: Effort underway to establish caseload benchmarks
- Tip: Perform your own internal investigation prior to government audit
- What does case-mix index mean to you?
- HIPAA 5010 deadline extended, but threat remains, says AMA
- HHS task force: Consider privacy, security with text messages
- E-mailed
-
- Running an effective peer review committee meeting
- HIPAA Q&A: Flu shot requirement for hospital employees
- What does case-mix index mean to you?
- Featured blog post: Nurses face felony charges after reporting physician to the Texas Medical Board
- HHS task force: Consider privacy, security with text messages
- Tip: Correctly code bilateral pain management procedures
- 2012 CPT code changes for ASCs: Shoulder and knee scopes and pain management
- COT basics to best
- Documentation and coding for toxic metabolic encephalopathy
- Guidance and tact key to compliant, effective physician queries
- Searched