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OIG Updates F/A Work Plan Monthly

OIG Updates F/A Work Plan Monthly

​The Department of Health and Human Services Office of Inspector General (OIG)  announced in June that it would update the work plan monthly, to enhance transparency.

In the September 15 update to the Work Plan, the new items posted are several examinations of Medicaid programs, including a review of five states to determine the extent to which Medicaid managed care plans include behavioral health providers and whether enough providers are available to meet the needs of the Medicaid population in those states.
OIG also will review Medicaid health home programs for compliance with federal and state requirements. OIG noted in the update that as of May 2017, the Centers for Medicare & Medicaid Services (CMS) approved Medicaid state plan amendments for 21 states and the District of Columbia for health home programs.
In addition, OIG will look at Medicare Part D sponsors’ reporting of direct and indirect remuneration (DIR) to determine whether Part D sponsors complied with Medicare DIR reporting requirements.
Michael Miscoe

About Has 54 Posts

Michael D. Miscoe, JD, CPC, CASCC, CUC, CCPC, CPCO, CPMA, CEMA, AAPC Fellow, has nearly 30 years of experience in healthcare coding and over 25 years as a forensic coding/compliance expert and consultant. He has provided forensic analysis and testimony as an expert witness on a wide range of coding and compliance issues in civil and criminal cases on behalf of providers, payers, and the government. Miscoe sits on AAPC’s Legal Advisory Board (LAB).

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