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…
CMS Proposes MA and Drug Plan Payment and Policy Updates.
The Centers for Medicare & Medicaid Services (CMS) recently issued an Advance Rate Notice and draft Call Letter proposing policy…
CMS Releases New Version of Draft Clinical Template for Home Health Face-to-Face Encounters.
The Centers for Medicare & Medicaid Services (CMS) released version 4.1 of the draft clinical template for physician documentation of…
CMS Issues Notice Extending Publication Deadline for Overpayment Reporting Final Rule.
The Centers for Medicare & Medicaid services (CMS) extended the deadline for the publication of the ‘‘Medicare Program; Reporting and…
Owners of a Mental Health Clinic Sentenced for $97 Million Medicare Fraud Scheme.
Two physician owners of Spectrum Care, P.A. (Spectrum), a community mental health clinic received a prison sentence of 148 months…
CMS Announces Updates to the Recovery Audit Program.
On December 30, 2014, the Centers for Medicare & Medicaid Services (CMS) announced new Recovery Audit contracts and updates to…
IRS and Treasury Department Issue Final Rule on Requirements for Charitable Hospitals.
The Internal Revenue Service (IRS) and U.S. Department of the Treasury issued a final rule under Section 501(r) of the…
OIG Issues Fall 2014 Semiannual Report to Congress.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its Fall 2014 (April-September) Semiannual…
OtisMed Pleads Guilty to Distributing Adulterated Medical Devices.
OtisMed Corporation (OtisMed) and its former chief executive officer (CEO) recently pleaded guilty to intentionally distributing knee replacement surgery cutting…
CMS Issues Final Rule Strengthening Medicare Provider Oversight.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule designed to prevent Medicare providers and suppliers…
DOJ Reports Recovery of Over $5 Billion from Fraud and Abuse Case Settlements and Judgments
The Department of Justice (DOJ) announced a $5.69 billion recovery stemming from fraud and false claim actions in fiscal year…
CMS Releases Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule with comment period revising payment policies under…