Fierce Healthcare August 11, 2020
The Trump administration must press Congress to get new powers to penalize hospitals that submit incorrect payment data as a way to clamp down on Medicare and Medicaid fraud, the Department of Health and Human Services’ watchdog said.
HHS’ Office of Inspector General released a report on Tuesday outlining 25 previous recommendations to combat waste and fraud that have not been adopted by the Centers for Medicare & Medicaid Services.
Chief among the recommendations is that CMS should press Congress to get the authority to penalize hospitals that submit inaccurate or incomplete wage data via the hospital wage index, which is used to adjust Medicare payment rates to account for local differences in hospital wages.
“Wage indexes may not always...
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