OIG Recommends CMS Recover EHR Payments

Members & Publications

June 13, 2017

A new report from the Office of Inspector General (OIG) found that the Centers for Medicare and Medicaid Services (CMS) inappropriately paid $729.4 million (12 percent of the total) in incentive payments to eligible professionals who did not meet meaningful use requirements, as well as $2.3 million for those who switched between the Medicare and Medicaid incentive programs. OIG recommends that CMS recover or attempt to recover the incentive payments. OIG also recommends that CMS review a random sample of EP’s documentation supporting their self-attestations to identify inappropriate incentive payments that may have been made after the audit period, as well as education EPs on proper documentation requirements. OIG also recommends that CMS employ edits within the National Level Repository system to ensure that an EP does not receive payments under both EHR incentive programs for the same program year.

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Legislation Introduced to Alleviate Impact of Conversion Factor Cut for 2021

Nov 09, 2020

Last month, two bills were introduced in the House proposing solutions to the estimated 10.6% Physician Fee Schedule conversion factor cut expected to go into effect January 1, 2021.  The bills offer some relief to the cut, but do not reflect a comprehensive or long-term solution.  AAPM&R has therefore chosen to remain neutral regarding these bills. 

Your Academy continues to advocate for a permanent solution to the conversion factor cut while maintaining the important payment increases to office and outpatient evaluation and management services.