Significance Of Recent DOJ Managed Care Settlement
The Department of Justice’s $14.1 million settlement with Complete Health Partners Holdings in August 2026 is a reminder that Medicare…
CMS Fraud War Room: Strengthening Oversight Through Real-Time Compliance Action
The Centers for Medicare & Medicaid Services (CMS) Fraud War Room serves as a central command center for real-time oversight,…
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…
California Data Breach Notification Deadlines Under SB 446
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)…