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
Report Number
OEI-01-15-00320
Report Description
Accurate data are fundamental to CMS's quality-based payment programs, including Hospital Inpatient Quality Reporting (IQR). This evaluation focuses on CMS's efforts to ensure the integrity of IQR data. IQR data are used to adjust payments on the basis of quality measures, so inaccurate data poses risks to payment accuracy. CMS and CDC issued a Joint Reminder regarding their concerns about data being manipulated, or gamed, by hospital staff's not following CDC definitions for reportable infections.
Report Type
Inspection / Evaluation
Agency Wide
Yes
Number of Recommendations
1
Questioned Costs
$0
Funds for Better Use
$0
Additional Details
