The Office
of Inspector General of the Department of Health and Human Services has issued
their Work Plan for Fiscal Year 2016.
This reports shows the OIG accomplishments for fiscal year 2015. This report concerns all the OIG’s plans for
2016.
Under the
section for hospice it shows they will focus on the use of general inpatient
care to determine if it is being used appropriately by the hospice
industry. They also plan to continue to
review if hospice claims to determine if they meet the Medicare eligibility
requirements and if the hospice is providing the appropriate level of care to
the patients.
Under the
home health section they will focus on reviewing clinical documentation to
determine if the Medicare claims meet the home health eligibility
requirements. Prior year OIG audits
claimed that one in four home health agencies had questionable billing
practices. They will continue to review
home health billing practices in 2016.
To review
the entire OIG Work Plan for 2016 please follow this link.
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