Situation Report | December 7, 2020
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has posted its Fall 2020 Semiannual Report to Congress. It describes OIG’s work identifying significant risks, problems, abuses, deficiencies, remedies, and investigative outcomes relating to the administration of HHS programs and operations from April 1, 2020 through September 30, 2020.
The report highlights many areas of health care, across a variety of settings including the following previously reported items related to home and community-based services:
- CMS Could Have Saved $192 Million by Targeting Home Health Claims for Review With Visits Slightly Above the Threshold That Triggers a Higher Medicare Payment (A-09-18-03031, July 2020).
- CMS’s Encounter Data Lack Essential Information That Medicare Advantage Organizations Have the Ability to Collect (OEI-03-19-00430, August 2020).