Detroit Area Physician Pleads Guilty to Health Care Fraud Conspiracy in $19 Million Medicare Fraud Scheme.
The Department of Justice (DOJ) recently reported that a Michigan physician pleaded guilty to one count of conspiracy to commit…
OIG Issues Report on Effectiveness of CMS Capitation Payment Policies in Preventing Payments for Deceased MA Beneficiaries.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released a report regarding the Centers…
AHA Requests CMS to Address Flawed OIG Audits.
The American Hospital Association (AHA) recently drafted a letter requesting that the Centers for Medicare and Medicaid Services (CMS) address…
Physician Sentenced to Prison for Role in $4.8 Million Medicare Fraud Scheme.
The Department of Justice (DOJ) recently reported that a Miami, Florida physician was sentenced to 97 months in prison for…
GAO Reports on CMS Fraud Prevention Activities.
The Government Accountability Office (GAO) recently released a report analyzing the Centers for Medicare and Medicaid’s (CMS) use of its…
OIG Testifies Before Congress on Key Improvements to the 340B Program.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently testified before Congress on ways to…
Practical Advice on Converting Compliance Plans into Compliance Programs.
In its earlier compliance guidance, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) used the…
Tips for Achieving Effective Compliance Program Operation.
Health care organizations face ever increasing regulations necessitating a proactive approach in compliance program execution to effectively mitigate the risk…
OIG Issues Report on OHRP’s Need to Communicate Whistleblower Protections.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report on the Office…
OIG Issues Advisory Opinion on Use of Preferred Hospital Network in Medigap Policies.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an Advisory Opinion regarding the…
GAO Reports on Improper Medicare Advantage Payments.
The Government Accountability Office (GAO) recently testified about improper payments made to Medicare Advantage Organizations (MAOs) before Congress. The GAO’s…
OIG Issues Report on OHRP’s Independence in Conducting Research Compliance Activities.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently conducted a study on the Office…