OIG Report: CMS Made Nearly $100 Million in Incorrect EHR Incentive Payments
December 26, 2019 | Eric D. Fader | Hospitals | Medicare and MedicaidA December 16 report by the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) estimated that the Centers for Medicare & Medicaid Services (CMS) made tens of millions of dollars of inflated Medicare electronic health record (EHR) incentive payments over a four-year period. OIG examined a sample of 99 payments made to acute-care hospitals from January 2013 through September 2017 and found that 50 were at least partially incorrect. OIG then extrapolated from the sample to estimate that about $93.6 million of incorrect incentive payments were made during the audit period.
OIG found that Medicare Administrative Contractors (MACs) failed to review hospitals’ supporting documentation to identify errors in their cost-report numbers on which the incentive payments were based, and CMS failed to include labor and delivery services in the incentive payment calculations. OIG recommended that CMS instruct the affected hospitals to investigate and return any overpayments, both within and outside the audit period, and instruct MACs to review all hospitals’ supporting documentation to locate errors. OIG also recommended that CMS recalculate incentive payments to take into account labor and delivery inpatient bed-days.
MORE NEWS ON Medicare and Medicaid
The 2021 Physician Fee Schedule (PFS) final rule recently released by the Centers for Medicare & Medicaid Services (CMS) includes...
Read MoreThe Office of Inspector General, Department of Health and Human Services (OIG) has finalized new safe harbors and modifications of...
Read MoreThe U.S. Department of Justice announced on November 20 that Doctor’s Choice Home Care, Inc. agreed to pay $3,856,000 to...
Read More- ACOs
- Affordable Care Act
- Antitrust
- Behavioral Health
- Cannabis
- COVID-19
- Cybersecurity
- Electronic Health Records
- Employer/Employee
- False Claims Act
- FDA
- Fraud and Abuse
- HIPAA
- Home Health
- Hospitals
- Legislation and Public Policy
- Litigation
- Medical Devices and Wearables
- Medicare and Medicaid
- Nursing Homes
- Pharmaceuticals
- Private Insurers
- Tax/IRS
- Telehealth
December 2020 November 2020 October 2020 September 2020 August 2020 July 2020 June 2020 May 2020 April 2020 March 2020 February 2020 January 2020 December 2019 November 2019 October 2019 September 2019 August 2019 July 2019 June 2019 May 2019 April 2019 March 2019 February 2019 January 2019 December 2018 November 2018 October 2018
- ACOs
- Affordable Care Act
- Antitrust
- Behavioral Health
- Cannabis
- COVID-19
- Cybersecurity
- Electronic Health Records
- Employer/Employee
- False Claims Act
- FDA
- Fraud and Abuse
- HIPAA
- Home Health
- Hospitals
- Legislation and Public Policy
- Litigation
- Medical Devices and Wearables
- Medicare and Medicaid
- Nursing Homes
- Pharmaceuticals
- Private Insurers
- Tax/IRS
- Telehealth
- Jennifer Abreu
- Brian R. Ade
- Ashley Algazi
- Mary Aperance
- Krystal B. Armstrong
- Khoren Bandazian
- Brian L. Bank
- Brandon Barbaruolo
- Dion K. Bass
- Jill F. Bechtold
- Joshua Beckham
- Andrew Berks
- Yonatan Bernstein
- Christina M. Bezas
- Samantha T. Bibbo
- Jason M. Biegel
- Merril S. Biscone
- Alexander Blisko
- Patricia Bober
- Stuart M. Bodoff
- Lindsay M. Brocki
- Jonathan B. Bruno
- Jordan Bryant
- Jacqueline (Mecchella) Bushwack
- Curtis Campbell
- Michael C. Cannata
- David Cano
- Caitlin S. Cash
- Michele Chavez
- Kathryn Schulz Ches
- Kaitlyn B. Connor
- Sal Coppolino
- William Cornachio
- E.K. Cottrell
- Wayne M. Cox
- James P. Cronin
- Alexandra Cusano
- Melissa A. Dearing
- Nancy A. Del Pizzo
- Catalina E. De La Hoz
- Janice J. DiGennaro
- Christine DiGregorio
- John K. Diviney
- AbiDemi M. Donovan
- Amanda B. Drantch
- Alan C. Eagle
- Glenn H. Egor
- Jeffrey Ehrhardt
- Daniel Ehrlich
- Scott A. Eisenmesser
- Karen Eng
- Joanne M. Engeldrum
- Harvey S. Epstein
- Eric D. Fader
- Brian L. Feld
- Scott L. Feuer
- John Ficarra
- Gary Fields
- James R. Finn
- Kaitlyn E. Flynn
- Richard A. Frankel
- Daniel E. Furshpan
- Avigael C. Fyman
- Jenna Z. Gabay
- Max Gershenoff
- Caitlyn Gibbons
- Laura (Mulholland) Gindele
- Maureen A. Glackin
- Erez Glambosky
- Ryan Goldberg
- Tim Gonzalez
- Stuart I. Gordon
- Paul Gorfinkel
- Sean Gorton
- Wallis L. Granat
- Joel M. Greenberg
- Jeffrey S. Greener
- David M. Grill
- Amanda Griner
- Keith S. Grover
- Walter J. Gumersell
- Lawrence S. Han
- Mohammed Haque
- Tamika N. Hardy
- Rosemary Harnisher
- Anthony Hawkins
- Nicole Hecker
- Jean A. Hegler
- Amanda Hegyes
- Sarah Hejazi
- Michael J. Heller
- Justin Henderson
- Steven T. Henesy
- Peter Henninger
- Katherine A. Heptig
- Jennifer F. Hillman
- Brandi Holton
- Claudia Honan (Hinrichsen)
- Jeremy B. Honig
- Ryan T. Hyde
- Michael N. Impellizeri
- Deborah M. Isaacson
- Robert H. Iseman
- Frank P. Izzo
- B. Edward Jaffe
- Ada Janocinska
- Katherine Jenkins
- Jamie Johnson
- Michael J. Jones
- Atara Kahn
- Geoffrey R. Kaiser
- Priscilla D. Kam
- Gene Y. Kang
- Bernadette Kasnicki
- Jay D. Kenigsberg
- Elan Kirshenbaum
- Michelle (Bholan) Klein
- Cheryl F. Korman
- Yaron J. Kornblum
- Michael A. Kotula
- Drew Krieger
- Evan H. Krinick
- Christopher J. Kutner
- Joseph T. La Ferlita
- Katie Lachter
- Katherine Lalor
- Matthew A. Lampert
- Marie A. Landsman
- Carol A. Lastorino
- Jessica Lefebvre
- Stella Lellos
- Alexander Lev
- Barry I. Levy
- Lawrence A. Levy
- Cari Lewis
- David Lobl
- Jessica Flores Lynch
- Paul V. Majkowski
- Edwin A. Maldonado
- Benjamin P. Malerba
- Robert A. Maloney
- Christopher Mango
- Greg E. Mann
- Harini Maragh
- Patricia C. Marcin
- John Marino
- Henry M. Mascia
- Rebecca Matthews
- John M. McFaul
- Lauren I. Mechaly
- Douglas E. Menikheim
- Silvana Merlino
- Jamie (Eliassaint) Milfort
- Gregory D. Miller
- Morgan Miller
- Frank M. Misiti
- Morgan Moceyunas
- Nicholas G. Moneta
- Rebecca Morrison
- Dylan Mruczinski
- John P. Mulvaney
- Kenneth C. Murphy
- Anne M. Murray
- E. Christopher Murray
- Philip P. Nash
- James E. Nelson
- Mirielle Nezamy
- Kenneth A. Novikoff
- Moise A. Ogé
- Chloe Orta
- Thomas Paddock
- John Panagopoulos
- Michael F. Panayotou
- Alexander G. Pappas
- Ana Parikh
- Felicia Pasculli
- Justin S. Penchuk
- Domenick J. Pesce
- Albert W. Petraglia
- Jenna M. Pettograsso
- Joseph Pidel
- Eric J. Ploumis
- Ashley Prinz
- Sheila Pugliese
- John F. Queenan
- Evan Rabinowitz
- Frank Raia
- Paul C. Repper, Jr.
- Gisella Rivera
- Pia E. Riverso
- Ryan Roberts
- Joanna B. Rosenblatt
- Burton R. Ross
- Alex R. Rukab
- Lauren E. Russo
- Jeffrey P. Rust
- Alan S. Rutkin
- Andrea C. Sacks
- Catherine Salerno
- Eric Santos
- Mariann Sarraf
- William M. Savino
- Catherine Savio
- Evan R. Schieber
- William Schleifer
- Brian S. Schlosser
- Michael Schnepper
- Thomas P. Schulz
- Paul Schwabe
- Garin Scollan
- Spencer Serling
- Steven Shapiro
- Sahil Sharma
- Zan Sheikh
- Wendy Hoey Sheinberg
- Syma Shulman Levine
- Amy L. Silver
- Sean N. Simensky
- Avi Sinensky
- Harpreet K. Singh
- Michael A. Sirignano
- Joshua D. Smith
- Ariane Smith
- Joseph N. Salomon
- Karen E. Sosler
- Matthew V. Spero
- Eric S. Strober
- James Suozzo
- Elizabeth S. Sy
- Joshua M. Tare
- Stanley J. Tartaglia, Jr.
- Jonathan Tilles
- Frank P. Tiscione
- Alexandria E. (Tomanelli) Vath
- Norton L. Travis
- Michael A. Troisi
- Lindsey R. Trowell
- Robert Tugander
- Nadia Udeshi
- Marc S. Ullman
- Frank A. Valverde
- Michael Vanunu
- Christine S. Varghese
- Michael P. Versichelli
- Louis Vlahos
- Jenson Wang
- Michael P. Welch
- Kristen L. Wenger
- Kyle W. White
- Amy S. Wiedmann
- David S. Wilck
- Andrew L. Williams
- Jessica J. Williams
- Benjamin J. Wisher
- Alexandra Wolff
- Rebecca Yin
- Stephanie C. Zaferiou
- Matthew J. Zangwill
- Aaron E. Zerykier
- Victoria Zorovich
- Steven M. Zuckermann
- Rivkin Rounds Staff
- Author Test