December 2012
The essential resource for your practice
Volume XXI, Number 12

OIG Publishes 2013 Work Plan to Fight Overpayments and Errors

The Office of the Inspector General (OIG) for the U.S. Department of Health and Human Services annually publishes a Work Plan that explains the areas of emphasis for ensuring the Federal funds are not being misdirected. 

Table of Contents


AUA Archives 5-ARI Chemoprevention Guideline

Eugene Y. Rhee, MD, MBA, Named 2013-2014 Gallagher Health Policy Scholar

The Gallagher Health Policy Scholar Program Selection Committee is pleased to announce the selection of Eugene Y. Rhee, MD, MBA, as the 2013-2014 Gallagher Health Policy Scholar. He is the seventh urologist to receive this honor.

The Gallagher Health Policy Scholar Program, created in honor of former AUA Executive Director G. James Gallagher, is designed to train the next generation of urologists for leadership positions in health policy. Scholars spend a full year engaged in critical seminars, conferences and meetings at the national level; receive mentoring from senior AUA physicians; and participate in a week-long health policy seminar for surgeons at Brandeis University, sponsored by the American College of Surgeons. Scholars also engage in other activities that ensure their immersion in and understanding of health policy issues important to urology.

For The Record

In November, 2012, the U.S. Department of Health and Human Services  Office of the Inspector General (OIG) issued a report on a review of the oversight by the Centers for Medicare and Medicaid Services (CMS) of the Meaningful Use (MU) Stage 1 Incentive Program. The Meaningful Use program encourages health care providers to implement and use electronic health records software by offering incentive payments through 2014, followed by payment adjustments beginning in 2015. The report states that the lack of oversight of the reporting for incentives leaves “the program vulnerable to paying incentives to professionals and hospitals that do not fully meet the meaningful use requirements.” 

AUA Signs on to Amicus Brief to Support Medicaid Coverage of Incontinence Products

The AUA, along with other groups including the National Multiple Sclerosis Society, the United Spinal Association, the Christopher and Dana Reeve Foundation and the American Association of Persons with Disabilities, has signed on to support an amicus brief being filed in the U.S. Court of Appeals for the Ninth Circuit in Arizona. The brief is being submitted as part of an appeal filed by Arizona Medicaid disputing a May 2012 opinion by federal judge Wallace Tashima calling for state Medicaid coverage of absorbent briefs for adults with incontinence for the prevention of skin irritation/impairment and infection.

The original lawsuit, Alvarez v. Betlach, was filed in response to an attempt by the Arizona Medicaid system to impose special eligibility rules restricting adult access to absorbent undergarments. The Arizona Health Care Cost Containment System (AHCCCS), citing cost concerns, argued that the adult undergarments were not “medically necessary” and should not be provided.