The OIG Releases the Strategic Plan for 2014-2018
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released the Strategic Plan for fiscal…
CMS Issues Transmittal Summarizing CY 2014 MPFS Final Rule Policies and Announcing the Telehealth Originating Site Facility Fee Payment Amount.
The Centers for Medicare & Medicaid Services (CMS) issued a transmittal summarizing the policies in the calendar year (CY) 2014…
CMS Updates Stage 2 EHR Tip Sheet
The Centers for Medicaid & Medicare Services (CMS) recently updated a tip sheet on Stage 2 of the Medicare and…
GAO Releases a Report on States’ Reporting of Overpayments.
In a recent study, the Government Accountability Office (GAO) assessed states’ efforts to recover and report Medicaid overpayments identified by…
The OIG Reports that OCR Failed to Meet Federal Requirements in its Oversight and Enforcement of the HIPAA Security Rule.
The Department of Health and Human Services Office of Inspector General (OIG) recently reported that the Office for Civil Rights…
Miami Home Health Company Owners and Recruiters Participated in a $48 Million Fraud Scheme.
The U.S. District Judge in the Southern District of Florida recently sentenced Emilio Amador, a patient recruiter of a Miami…
The OIG Recommends Additional Monitoring for Medicare Nursing Home Hospitalization Rates.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report analyzing Medicare nursing home…
Nursing Home Provider Settles for $48 Million for Submitting False Therapy Claims.
On November 19, the Department of Justice (DOJ) announced that The Ensign Group Inc., a skilled nursing provider, settled for…
CMS Provides Instructions for Post Payment Patient Status Reviews.
The Centers for Medicare & Medicaid Services (CMS) released instructions relating to the time period that contractors should begin “patient…
OIG Issues Report Scrutinizing Increased Hospital Outlier Payments.
The Department of Health and Human Services Office of Inspector General (OIG) issued a report examining an increase in hospital…
Clinic Owner Receives 15 Year Prison Sentence for her Role in a $77 Million Medicare Fraud Scheme.
The owner of a clinic in Brooklyn that billed Medicare for more than $77 million for services that were medically…
Publication of Four Final Medicare Rules Delayed Due to Government Shutdown
The Centers for Medicare & Medicaid Services (CMS) delayed the publication of the following four final Medicare payment rules, scheduled…