In a 2010 report, the OIG found CMS took adverse actions against providers but did not report all of these actions to the Healthcare Integrity and Protection Data Bank, which is required. Specifically, none of the adverse actions against durable medical equipment suppliers in 2008 had been reported upon the OIG’s review in April 2009.
The OIG recommended CMS report all adverse actions as required. In its recent review, the OIG compared HIPDB data from April 2012 with HIPDB data from April 2009. It found CMS had improved its reporting of adverse actions for DME suppliers but not other types of providers.
As of April 1, 2012, the HIPDB contained no reports of adverse actions against nursing homes since June 23, 2010. The database also lacked adverse action reports that CMS had imposed against laboratories, managed care plans and prescription drug plans from 2006 through 2009 — all of which were identified in the OIG’s 2010 report as missing. In addition to missing these earlier adverse actions, the HIPDB did not contain any subsequent reports.
The OIG’s report contained no new recommendations but did maintain its 2010 recommendation that CMS report all adverse actions as required.
More Articles on OIG Reports and Investigations:
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OIG Seeks Input to Revise Self-Disclosure Protocol for Healthcare Providers
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