3244 New Exclusions Added to the LEIE in 2017
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its second Semiannual Report to Congress…
Whistleblowers Accounted for 93% of Successful Fraud Recoveries in 2017
The Department of Justice (DOJ) Civil Division recently announced that it recovered over $3.7 billion from civil False Claims Act…
OIG Reports That CMS Generally Met Its Policy And Legal Requirements In Round Two Of The DMEPOS Competitive Bidding Program
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported its findings on the Durable…
The Data Security And Breach Notification Act Would Criminalize Failure To Timely Report Breaches
In response to delayed reporting of major breaches, senators introduced legislation that would subject executives to criminal prosecution for reporting…
Staffing Interim and Temporary Compliance Officers
No healthcare organization can afford the risk of a Compliance Officer “gap” Compliance programs may rapidly degenerate without someone being…
CMS Reports 2017 Medicare Fee-For-Service Improper Payments Dropped Below 10 Percent
CMS recently reported a reduction in the rate of improper Medicare Fee-For-Service (FFS) payments from 11.0 percent in 2016 to…
Judge Strikes Down DOJ Case Against HCR ManorCare
The DOJ whistleblower (qui tam) False Claims Act case brought in 2015 against HCR ManorCare, which operates 281 skilled-nursing care…
New CMS Instructions for the 2-Midnight Rule
MACs given new directions on 2-midnight rule settlement agreements The Centers for Medicare and Medicaid Services (CMS) recently announced partial…
Whistleblower Case Alleges Epic Overbilled Millions
Lawsuit alleges hundreds of millions of dollars in overbilling In 2015, a whistleblower filed a qui tam lawsuit against Epic…
Legal Counsel Versus The Compliance Officer
Many compliance officers find it difficult to establish a positive working relationship with legal counsel. There are certain areas where…
October 2017 OIG Work Plan Update
Five New Items Added to Current Work Plan This year, the OIG is updating its annual Work Plan during the…
AHA Calls Upon CMS to Take Action to Address OIG Audits
Claims Flawed OIG Extrapolations and Overstatements of Repayment Demands In a letter to CMS, the American Hospital Association (AHA) requested that…