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Report File
Date Issued
Submitting OIG
Department of Health & Human Services OIG
Other Participating OIGs
Department of Health & Human Services OIG
Agencies Reviewed/Investigated
Department of Health & Human Services
Components
Centers for Medicare and Medicaid Services
Report Number
A-01-22-00501
Report Type
Audit
Number of Recommendations
0
Questioned Costs
$0
Funds for Better Use
$0

Open Recommendations

This report has 4 open recommendations.
Recommendation Number Significant Recommendation Recommended Questioned Costs Recommended Funds for Better Use Additional Details
24-A-01-01202 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services provide the results of the analyses to QIOs and Medicare Program Integrity contractors so that they can conduct targeted claim reviews to identify patterns of unreported incidents of potential abuse or neglect and the reasons the incidents were unreported.

24-A-01-01201 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services conduct data analyses to identify trends and high-risk areas in Medicare claims containing diagnosis codes indicating potential abuse or neglect.

24-A-01-01203 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services based on the results of the targeted claim reviews, develop and share guidance and best practices with providers to assist providers in reporting incidents in compliance with State mandatory reporting laws.

24-A-01-01204 No $0 $0

We recommend that the Centers for Medicare & Medicaid Services consider the results of targeted claims reviews when assessing whether the existing requirements for reporting abuse or neglect of Medicare enrollees in provider CoPs should be strengthened.

Department of Health & Human Services OIG

United States