Increased Focus on Hospice Enforcement
Hospice enforcement continues to intensify as regulators focus on program integrity risks associated with end-of-life care, billing practices, and inappropriate…
Announced Reorganization Of OCR
The U.S. Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a significant reorganization on May…
OIG Letter Regarding State Medicaid Fraud Control Units
A signal of heightened Medicaid enforcement On May 13, 2026, the Department of Health and Human Services (HHS) Office of…
DOJ Creates a New Division for National Fraud Enforcement
On April 7, 2026, the Department of Justice (DOJ) announced the establishment of a new division for national fraud enforcement,…
Did You Meet the February 16 Deadline? What Healthcare Organizations Need to Know About Updated HIPAA and Part 2 Privacy Notices
Healthcare organizations faced an important compliance deadline on February 16, 2026, when updates to the HIPAA Privacy Rule and 42…
New California Law Shortens Data Breach Notification Deadlines
California’s new Senate Bill 446 (SB 446), signed by Governor Gavin Newsom, tightens the state’s data breach notification rules effective…
Guide to the One Big Beautiful Bill Act Healthcare Provisions
Download our comprehensive summary of the healthcare provisions within the One Big Beautiful Bill Act (OBBBA). This easy-to-read document breaks…
Medicaid Fraud Control Units Obtained Record Number of Convictions in 2024
Key Points: The Department of Health and Human Services, Office of Inspector General (OIG), oversees state-level Medicaid Fraud Control Units…
CMS Working to Enhance Its Fraud Detection Capabilities
Key Points: CMS under Dr. Mehmet Oz has stated a goal of advancing its fraud detection capabilities with the use…
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…