Corporate Compliance

Other Issuances: OIG releases 2011 Work Plan, CMS announces SHIP funding awards, NCD lab manual quarterly update, quarterly OPPS updates, quarterly MUE files, new FAQs, and more

Medicare Insider, October 5, 2010

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OIG releases Work Plan for fiscal year 2011

On October 4, the Department of Health and Human Services (HHS) released the Office of Inspector General (OIG) Work Plan for Fiscal Year 2011. The Work Plan provides brief descriptions of activities that the OIG plans to initiate or continue with respect to the HHS programs and operations of the in fiscal year 2011.

View the 2011 OIG Work Plan.

CMS announces 2010 SHIP funding awards

On October 1, CMS announced $1.5 million in fiscal year 2010 federal performance funding awards for its State Health Insurance Assistance Programs (SHIP). The funds are in addition to the $41.6 million released to the SHIP network in April 2010. The SHIP network consists of 54 integral CMS partner organizations that provide benefits counseling and assistance to people with Medicare.

View the press release.

Government grants $9M to SMP programs to fight Medicare fraud

On October 1, CMS announced the award of $9 million in grants to help more than 50 Senior Medicare Patrol (SMP) programs fight Medicare fraud. This award is part of President Obama’s mandate to educate seniors and other Medicare beneficiaries about preventing Medicare fraud.

View the press release.

CMS post quarterly OPPS data updates

CMS has posted its quarterly update to Addendum A and Addendum B of the OPPS.

View the updated Addendum A.

View the updated Addendum B.

CMS issues lab NCD manual

CMS has posted its quarterly update to the lab NCD manual.

View the updated manual.

CMS issues quarterly MUE files

CMS posted updated quarterly files containing the publishable medically unlikely edit (MUE) values.

View the DME MUE file.

View the outpatient facility MUE file.

View the physician MUE file.

CMS posts new FAQs

CMS has posted several new FAQs covering a variety of topics.

View a listing of recent FAQs.

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