LTC Providers Could Be Removed From Medicare/Medicaid For Obstructing Audits

According to a newly proposed rule from a top federal watchdog, long term care providers who obstruct audits could have their Medicare and Medicaid certifications revoked. The Department of Health and Human Services Office of Inspector General has created the rule to implement an ACA provision which allows the government to remove providers found guilty of obstructing audits. Regulations set an “aggravating factor” of $1,500 or $5,000 when determining the length of the Medicare or Medicaid exclusion (depending on the type of wrongdoing). Thus, “lengthier exclusions apply for acts that resulted in or were intended to result in financial losses to the government above these thresholds.” The new rule proposes increasing the aggravating factor to $15,000.

Click here to read more

Advertisements

One thought on “LTC Providers Could Be Removed From Medicare/Medicaid For Obstructing Audits

  1. Pingback: Monday Morning Recap | hmsabc

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s