CMS Proposes Rule Streamlining Quality-Based Payment Programs.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule implementing provisions of the Medicare Access and…
CMS Issues Final Rule Modernizing Medicaid Managed Care.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule modernizing managed care in Medicaid and the…
DOJ Announces $785 Million False Claims Act Settlement with Wyeth and Pfizer.
The Department of Justice (DOJ) recently announced that drug companies Wyeth and Pfizer agreed to pay nearly $785 million to…
CMS Issues IPPS Proposed Rule Updating Fiscal Year 2017 Payment Policies and Rates.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule updating the Inpatient Prospective Payment System (IPPS)…
OCR Announces Two Settlements to Resolve Potential HIPAA Violations.
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently announced two high profile settlements involving…
Consultant Sentenced to Prison for Role in $63 Million Health Care Fraud Scheme.
The United States Department of Justice (DOJ) recently sentenced a Miami, Florida health care clinic consultant to 135 months in…
President of Transportation Company Sentenced to Prison for Role in $70 Million Health Care Fraud Scheme.
The Department of Justice (DOJ) recently announced that the President of Transportation Service Providers Inc. was sentenced to 60 months…
OCR Launches Phase 2 of HIPAA Audits in Wake of Recent Settlements.
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently began the next phase of its…
CMS Issues Proposed Rule Enhancing Medicare Provider Enrollment Process.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule addressing Medicare, Medicaid, and Children’s Health Insurance…
DOJ Announces $646 Million Settlement with Olympus Corporation of the Americas.
The Department of Justice (DOJ) announced that Olympus Corporation of the Americas (OCA) and its Miami-based subsidiary violated the Anti-Kickback…
CMS Issues Final Rule on Reporting and Returning Medicare Program Overpayments.
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule implementing the 60-day deadline to report and…
OIG Issues Report on Improper Medicare Payments for Bone Marrow and Stem Cell Transplants.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report on its audit…