The 2014 OIG Work Plan includes the following: Billing and Payments. We will identify questionable billing patterns associated with nursing homes and Medicare providers for Part B services provided to nursing home residents during stays not paid under Part A (for example, stays during which benefits are exhausted or the 3-day prior-inpatient-stay requirement is not … Continue Reading
CMS has issued a final rule in 42 CFR § 488.438(c)(2), which will be effective January 1, 2012, which states: · “When CMS determines that a SNF, a dually participating SNF/NF, or an NF-only facility subject to a civil money penalty imposed by CMS self-reports and promptly corrects the non-compliance for which the civil money … Continue Reading
