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HHS OIG Targets Medicare DME Costs In 2013 Work Plan

This article was originally published in The Gray Sheet

Executive Summary

The Office of Inspector General’s fiscal 2013 work plan outlines new projects to monitor costly overpayments for Medicare durable medical equipment and realize additional cost savings in the Medicaid program.

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Reimbursement Briefs: AMA Wants ICD-10 Halt; News From CMS, AHRQ And OIG

AMA asks CMS to reconsider ICD-10 implementation. CMS explores specialist payment models. AHRQ quality measures clearinghouse endorses new Medicare hip and knee replacement measures tied to readmissions and complications. More reimbursement news.

HHS OIG Expects Almost $4 Billion In Recoveries From First Half Of Fiscal 2013

Its spring 2013 Semiannual Report to Congress says the Office of Inspector General expects recoveries of about $3.8 billion from audits and investigations undertaken in the first half of fiscal year 2013, among other findings.

CMS In Brief

CMS announces 8.5% improper payment rate for FY 2012. HHS Office of Inspector General expects $6.9 billion in recoveries from audits and investigations. More CMS news.

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