HCPro.com: Healthcare Auditing Weekly

This weekly email newsletter offers health care internal auditors and compliance professionals the latest information on setting up and maintaining an effective auditing program.

July 15, 2008 (Volume 6, Issue 27)

CMS releases results of RAC demonstration
Recovery Audit Contractors (RACs) corrected more than $1.03 billion in improper Medicare payments, according to a CMS evaluation of the RAC pilot program.

Senate holds hearing on Medicare claims from dead physicians
The U.S. Senate Committee on Homeland Security and Governmental Affairs’ subcommittee on investigations held a hearing July 9 regarding fraud, waste, and abuse in the Medicare program in connection with claims containing physician identification numbers of dead physicians.

Tip: Six steps to conducting a SOX 404 audit
If you’re considering performing a Sarbanes-Oxley 404 audit, you need to identify your organization’s business cycle and materiality. Once you’ve done this, follow this series of steps to perform a SOX 404 audit:

Other recently-published articles from Healthcare Auditing Weekly:

DOJ nabs 245 defendants in Florida for Medicare fraud in FY2008

Work plan lists nine new audits for hospitals

Ask these questions about your compliance program

Featured Audit Plan: Physician Practice

CMS provides updated RAC numbers

CMS paid billions in questionable claims

Tip: Develop a work plan post risk assessment

Medicare Part B premiums remain the same in 2009

Tip: Avoid legal trouble by voluntarily self-disclosing conduct that may present False Claims Act liability.

New York hospital settles suit for $88 million, signs CIA

Tip: Perform a post-audit evaluation to assess strengths and weaknesses

Miami docs plead guilty for fraud at HIV infusion clinic

Michigan overpays more than 200,000 families in assistance program

Tip: Five ways to prevent would-be whistleblowers

New Hampshire ambulance company fined $1M for false claims

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