OIG Issues Fraud Alert Regarding Physician Compensation Arrangements.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released a fraud alert urging physicians…
CMS Proposes Update to Medicaid Managed Care Regulations.
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating Medicaid managed care regulations to align…
OIG Issues Mid-Year Update to FY 2015 Work Plan.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued the fiscal year (FY) 2015 Work…
OIG Releases Report on Home Health Agency Use of Background Checks.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report assessing home health agency…
OIG Reports on Incorrect Place of Service Coding Overpayments.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported that Medicare potentially overpaid physicians…
CMS Issues IPPS and LTCH PPS Proposed Rule for Fiscal Year 2016.
The Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating the fiscal year (FY) 2016 Hospital Inpatient…
OIG Issues New Compliance Guidance for Governing Bodies.
The Department of Health and Human Services Office of Inspector General (OIG) recently released a new compliance guidance that provides…
CMS Issues Medicare SNF PPS Proposed Rule for Fiscal Year 2016.
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating the Skilled Nursing Facility (SNF) Prospective…
CMS Releases Proposed Rule on Meaningful Use Stage 3.
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule for Stage 3 of the Medicare and…
CMS Commences Round 2 Settlement Process for Inpatient Claims.
The Centers for Medicare & Medicaid Services (CMS) recently announced Round 2 of the settlement process for denied inpatient claims.…
HHS and DOJ Release FY 2014 Health Care Fraud and Abuse Control Program Report.
The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) recently released the fiscal year (FY)…
OIG Report Reports On 2015 Unimplemented OIG Recommendation
The HHS OIG released the March 2015 Edition of the Compendium of Unimplemented Recommendations. The publication outlines the OIG’s fiscal year…