tci Medicare Compliance & Reimbursement - 2017 Issue 12
Industry Notes: Keep Your Compliance Calendar on Task or Face the Consequences
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Article Overview
This article summarizes recent Medicare compliance and administrative updates affecting providers, billing teams, and compliance staff. It highlights the HHS Office of Inspector General’s move to monthly Work Plan updates, the types of Medicare program areas receiving increased attention, and CMS’s rollout of new Medicare cards and beneficiary identifiers. The piece is relevant for organizations tracking federal oversight, practice operations, and patient communications around upcoming Medicare changes.
Why This Topic Matters
The article helps healthcare organizations stay aware of evolving federal compliance priorities and operational changes that can affect staff workflow, patient eligibility processes, billing systems, and vendor readiness.
Article Sections
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OIG Work Plan updates
This section explains a change in the timing and format of the HHS Office of Inspector General’s public work planning updates. It frames the update as part of ongoing compliance oversight and transparency efforts.
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Recently added items to the monthly updates
This section outlines the broad categories of Medicare program topics being added to the OIG’s monthly review process. It touches on prescription drug oversight, provider and supplier reporting, and broader Medicare payment reform monitoring.
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Medicare cards are getting a revamp in 2018
This section covers CMS’s transition to new Medicare cards and the administrative preparations organizations should make. It focuses on beneficiary communication, address validation, system readiness, and coordination with vendors.
What You Will Learn
- How the OIG is changing the cadence of its public Work Plan updates
- Which general Medicare compliance areas are receiving added oversight attention
- What operational preparations CMS is recommending for the Medicare card transition
- Why accurate beneficiary information and system readiness matter during the changeover
Who Should Read This
- Healthcare compliance staff
- Medical billing and revenue cycle teams
- Practice managers
- Provider organizations participating in Medicare programs
- Healthcare IT and vendor coordination teams
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