tci Medicare Compliance & Reimbursement - 2004 Issue 40

HOSPITALS: New Fraud Hotspots For Hospitals Revealed

Hospitals should hone in on these key compliance areas.The HHS Office of Inspector General has released its work plan for 2005 - and it's got a few new bones to pick with Medicare hospitals.Don't get caught off guard. Here's what you may need to address to be ready when federal investigators come calling this year. Graduate Medical Education. Expect investigators to target alternative payment methodologies for GME for the costs of training residents in non-hospital settings. Post-Acute Care Transfers. Watch out for overpayments involving patients in certain diagnosis-related groups who are discharged from a prospective payment system...

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