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OIG Online Portfolio: Home Health

Outcomes

OIG makes recommendations to HHS that would have a positive effect on HHS programs in terms of cost savings and/or quality improvements. These recommendations come from OIG's audits and evaluations. Significant recommendations that remain unimplemented are incorporated into OIG's annual Compendium of Unimplemented Recommendations. Below is a list of those that are home health-related:

Unimplemented Recommendations Impact Report
CMS should complete a process that would allow the claims processing system to interface with State survey agency systems to identify, on a prepayment basis, home health agency claims without accepted Outcome and Assessment Information Set (OASIS) data submissions. Estimated savings: $25.1 million Medicare Often Made Overpayments to New England Home Health Agencies for Claims Without Required Outcome and Assessment Information Set Data for Calendar Year 2010 A-01-12-00508 (Mar. 2014)
CMS should implement the HHA surety bond requirement. Improved payment efficiency Surety Bonds Remain an Unused Tool to Protect Medicare from Home Health Overpayments OEI-03-12-00070 (Sept. 2012)
CMS should promote minimum standards in background check procedures. Improved program integrity and safety Home Health Agencies Conducted Background Checks of Varying Types OEI-07-14-00130 (May 2015)

Home Health: Challenges and Accomplishments

OIG's recommendations come from its audits and evaluations, and often relate to significant management and performance challenges facing HHS. Every year, OIG compiles a list of Top Management and Performance Challenges facing HHS and publishes them on our website and in the Agency Financial Report. The home health industry is referenced either directly or indirectly in several of these challenges. The list was last updated in November 2015.

OIG's latest activities, including work affecting the home health industry, can also be found in its Semiannual Report to Congress, which is published twice a year. Visit the other sections of this web portfolio to learn more about the work OIG is doing in the home health industry.

Page last updated: February 6, 2017

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Office of Inspector General, U.S. Department of Health and Human Services | 330 Independence Avenue, SW, Washington, DC 20201