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OIG to Review EHR Incentive Payments to Hospitals

Publisher: Bloomberg BNA's Health Care Daily Report
July 18, 2017

Eric Fader was quoted in an article, "Health-Care Watchdog to Review Medicaid Opioid Claims," published in Bloomberg BNA's Health Care Daily Report. In addition to reviewing opioid claims, the Office of Inspector General (OIG) of the Department of Health and Human Services plans to review electronic health record (EHR) incentive payments made to hospitals, following a June report estimating that the Centers for Medicare & Medicaid Services (CMS) overpaid eligible professionals $729 million in EHR incentives between 2011 and 2014. Fader told Bloomberg BNA that the overpayment illustrates the difficulty CMS has had in administering the EHR program. "I'm sure the OIG expects that out of the $14.6 billion in incentives paid to hospitals from 2011 through 2016, it will uncover another massive overpayment amount," Fader said. It's not clear how many of the overpayments under the EHR program were due to sloppiness in submissions and how many were the product of intentional wrongdoing, Fader said, adding that a thorough OIG audit of EHR incentive payments to hospitals is overdue.


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