Long-Term Care

OIG’s Compendium of Unimplemented Recommendations released

Contemporary Long-Term Care Weekly, March 25, 2010

The Office of Inspector General (OIG) released its Compendium of Unimplemented Office of Inspector General Recommendations. The report is sent to the Department of Health and Human Services (HHS). It contains recommendations that are designed to cut costs and/or improve the department’s effectiveness. Because the majority of HHS’ budget is allocated to CMS, much of the compendium focuses on the Medicare and Medicaid programs.

OIG recommends that CMS closely monitors the “quality and appropriateness” of hospital and nursing home consecutive stays, largely because OIG’s first review in 2002 found that Medicare paid about $267 million for inpatient stays connected with quality-of-care problems. Other recommendations involving nursing homes include ensuring that states update and maintain nurse aide registries, improving training for nurse aides, and ensuring the correct processing of denial of Medicare payments by working with fiscal intermediaries and Medicare administrative contractors, and by improving communication.

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