What’s New In The OIG 2015 Work Plan?

Posted by Frank Strafford on January 7, 2015 in 2015 Work Plan, Industry News,

Have you reviewed the 2015 Work Plan yet to see how it may affect you?                                                                      What's New In The OIG 2015 Work Plan?

Although there haven’t been any updates in the 2015 Work Plan pertaining to Nursing Homes and Hospices, there have been a couple of new areas of focus relating to Hospitals, which you should be aware of.

The first update is regarding hospital wage data reporting, which is used to calculate Medicaid payments. The 2015 Work Plan said that previous erroneous wage data reporting amounted to hundreds of millions of dollars, consequently prompting their policy change regarding how hospitals account deferred compensation costs to the Centers for Medicare & Medicaid Services.

Secondly, for beneficiaries of Medicare who are being cared for in long-term care hospitals (LTCHs), the OIG added to the Work Plan both adverse and temporary harm events in post-acute care. According to the Work Plan, LTCHs are among the top three most common types of facilities for post-acute care, and as a result, they account for about 11% of post-acute care Medicare costs.

Adding adverse and temporary-harm events that occur in LTCHs to the new Work Plan (which presently does provide for the monitoring of these events at in-patient rehab facilities) is in accordance with the increased focus on long-term care facilities in recent years. CMS, OIG, local and regional regulators have worked hard to discover and root out fraud, increase quality, and rein in costs at these particular providers, which take care of some of the most medically complex and costly program beneficiaries.

In addition to the aforementioned updates relating to hospitals, this year, the OIG will also be conducting a review of the expenditures that states have claimed under the Balancing Incentive Program (BIP), a program that was established to provide matching funds from the federal government for certain eligible expenditures for long-term services.

You can find the complete 2015 Work Plan by clicking here.

About Frank Strafford

About Frank Strafford

Related Articles

ALERT: All Providers Are Required To ...

August 9, 2017

The Texas Department of Aging and Disability Services (DADS) has just notified providers via their website that there was a delay in uploading names to the Employee Misconduct Registry (EMR) during th...

An Aging Population Triggers Proliferating Oversight ...

March 24, 2015

Elder care has been a concern for the nation over the past decade, and the need for qualified personnel and reputable facilities is continuing as a high demand.  With this swelling demand, there is g...

The OIG 2021 MFCU Performance Report Highlights

May 30, 2022

Background The function of state Medicaid Fraud Control Units (MFCUs) is to investigate and prosecute Medicaid provider fraud and patient abuse/neglect. The Social Security Act requires each state ...

Understanding OIG Exclusions

OIG Exclusions Screening Process

Exclusion FAQS

Quick OIG Exclusion Basics

Employing Excluded Individuals

Consequences to Employing an Excluded Individual

OIG Compliance Law

Laws and Publications on OIG Compliance

More Compliance Resources

About Us

Industry leader Streamline Verify has been forging new paths in Exclusion Screening.

Trusted for Good Reason

  • ✓ Guaranteed accurate
  • ✓ Certified Secure
  • ✓ Audit Proof
  • ✓ Feature-rich reporting
  • ✓ Round the clock real-time-data
  • ✓ Processing fully automated

Security First

  • ✓ Cloud hosted
  • ✓ Encrypted data
  • ✓ Real-time backups

Trusted for Accuracy

  • ✓ Physical security
  • ✓ Restricted access
  • ✓ Single sign-on
  • ✓ Password security
  • ✓ Certified secure
  • ✓ Cross checking

HEALTHCARE ESTABLISHMENTS NATIONWIDE COUNT ON STREAMLINE VERIFY

5

60%

Average workload reduction by implementing the Streamline Verify program

5

10K

Establishments trust Streamline Verify nationwide

5

2011

Serving the healthcare industry’s unique compliance needs since 2011

5

24X

Setting standards with hourly synchronization to primary source data

[class^="wpforms-"]
[class^="wpforms-"]