Medicare Compliance & Reimbursement

Compliance:

Glean These 3 Themes From the 2011 OIG Work Plan

Experts count the reasons to put rehospitalization on your radar screen. The annual HHS Office of Inspector General (OIG) work plan not only gives you a preview of what the agency will be focusing on -- it also reflects broader compliance and payment trends. Below experts identify three take-home messages from the OIG's 2011 plan that can help you get a step ahead of what's coming down the pike. 1. Focus on the interplay between your sector and other providers. For example, "a nursing home that just looks at what the OIG is [targeting] related to nursing homes is missing out," cautions attorney Paula Sanders, with Post & Schell in Harrisburg, Pa. Case in point: The 2011 OIG work plan includes two continuing hospital reviews that nursing homes should watch out for, Sanders says. These are "hospital admissions with conditions coded as being present on admission (POA) and the early implementation [...]
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