CMS Working to Enhance Its Fraud Detection Capabilities
Key Points: CMS under Dr. Mehmet Oz is advancing its fraud detection capabilities with the use of real-time, AI-driven tools…
Stark Law Settlements Doubled Last Year
The Centers for Medicare & Medicaid Services (CMS) reported a record-breaking 314 Stark Law settlements under the self-referral disclosure protocol (SRDP)…
New CMS Administration Pledges Commitment to Eliminate Fraud, Waste, and Abuse
Key Points: Many in the healthcare sector are still trying to assess how their operations will be impacted by the…
The Department of Health and Human Services’ Restructuring Extends to OCR Enforcement
Assistant Secretary of Enforcement to oversee OCR, OHA, and DAB The Department of Health and Human Services has announced a…
DHHS Moving to Reduce and Eliminate Regulations
Key Points: The Department of Health and Human Services (DHHS) is actively responding to various executive orders aimed at regulatory…
DOJ Reports 2024 Settlements and Judgements of $2.9B
Key Points: DOJ reported settlements and judgments under the False Claims Act that exceeded $2.9 billion in 558 cases during…
OIG Calls for Increased Oversight of Remote Patient Monitoring
The OIG recently issued a report that found patient monitoring in Medicare has been increasing dramatically and that nearly half…
Court Strikes Down HIPAA Web Tracking Guidance
In a case brought by the American Hospital Association (AHA), the U.S. District Court for the Northern District of Texas issued…
OIG Semiannual Report Results Summary Fiscal Year 2023
Key Points: OIG released the 2023 Semiannual Report to Congress (April 1 to September 30), describing significant risks, problems, abuses,…
OIG Issues New General Compliance Program Guidance
On November 6, 2023, the DHHS OIG published its long-awaited General Compliance Program Guidance (GCPG). It has been 15 years since the…
Federal Trade Commission Moves to Ban Non-Compete Agreements
Key Points: Non-compete agreements, also called restrictive covenants, are a common requirement for employment in health care. They may appear…
OIG Issues Final Rule on Information Blocking Enforcement
Civil Monetary Authority enforcement rule is now in effect The Cures Act defines information blocking as “a practice that interferes…