2 Lawyers Weigh in on OIG Report Putting Spotlight on Provider-Based Billing


Emily Cooksaid that while a new report by the HHS Office of Inspector General urged CMS to “take a more active role to monitor and enforce provider-based facilities,” CMS believes that the provider-based program “promotes clinical integration and access to acute care facilities, which the OIG believes is not proven from their report.”Monica Wallaceagreed that “the OIG wants to eliminate the provider-based designation, but CMS doesn’t want to get rid it. Instead, it wants to improve and modify the system.”