DaVita to Pay $450 Million in Settlement Regarding Reimbursement for Unnecessary Drug Wastage.
DaVita Healthcare Partners, Inc., the largest dialysis services provider in the United States, has agreed to pay the government $450…
National Medicare Fraud Takedown Uncovers $712 Million in False Billing.
A recent Medicare Fraud Strike Force takedown in 17 districts resulted in Medicare fraud charges against 243 individuals, including 46…
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.…