tci Medicare Compliance & Reimbursement - 2024 Issue Q2

Industry Notes: OIG Report Points Out PRF Overpayment Issue … Again

If you thought the HHS Office of Inspector General’s (OIG) scrutiny of CARES Act Provider Relief Fund (PRF) payments was over, think again. Context: On March 7, OIG posted another report — this is the national watchdog agency’s fifth investigation and report on COVID-related PRF payments — that showed the HHS Health Resources and Services Administration (HRSA) miscalculated payments to certain Medicaid, CHIP, dental and assisted living providers. In a sample of 150 providers who received payments during the Phase 2 General Distribution, OIG uncovered payment issues with 17 providers. “HRSA made PRF payments that were...

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