HeyJaredJonathan R. Werne
- Indexed articles, last 90 days
- 3
- Latest publication
- Sep 25, 2026
- Outlet visibility, for Mondaq
- Top 500K sites
- Earliest in this view
- Jul 14, 2026
Latest articles
How OIG Used Data Analytics And Extrapolation In A $12.4 Million Hospital Audit (opens the original)
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The HHS Office of Inspector General’s (“OIG”) September 2026 audit of Methodist Hospital located in San Antonio, Texas (“Hospital”) shows how a relatively small claim review can lead to a much larger repayment recommendation when OIG identifies billing patterns it considers high risk. OIG reviewed 100 inpatient and outpatient claims, found 27 did not fully comply with selected Medicare billing requirements, and calculated $256,926 in net overpayments in the sample. Using statistical extrapolatio
MSDH Approves Major Updates to State Health Plan and CON Review Manual (opens the original)
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The Mississippi State Department of Health (“MSDH”) approved revisions to the State Health Plan and a reorganized Certificate of Need Review Manual at its July 8, 2026, Board of Health meeting, including changes affecting thresholds, exemptions, imaging services, home health, ESRD, and rural hospital projects. The State Health Plan changes appear to track recent legislation and update several key CON rules. The revisions raise capital expenditure thresholds to $10 million for clinical projects,
Mississippi Hospitals Should Prepare Now For New Medicare Requirements For Off-Campus Outpatient Departments (opens the original)
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Mississippi hospitals with provider-based off-campus outpatient departments should start preparing now for new Medicare requirements that could affect payment beginning January 1, 2028. On July 7, 2026, CMS proposed a rule implementing Section 6225 of the Consolidated Appropriations Act, 2026, and comments are due August 31, 2026. The basic point is this: for items and services furnished on or after January 1, 2028, Medicare will bar Outpatient Prospective Payment System (“OPPS”) payments unless
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Top 500K sites
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