OCR Issues a HIPAA Administrative Simplification Regulation Text
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently published an unofficial version of all…
CMS Issues Transmittal on Enrollment Denials for an Existing Overpayment
The Centers for Medicare & Medicaid Services (CMS) recently issued a transmittal revising section 15.13 of Chapter 15 of the…
OIG Releases Spring 2013 Semiannual Report
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its Spring 2013 Semiannual Report…
OIG Issues Final Rule Permitting FFP in MFCUs Data Mining
The Department of Health and Human Services Office of Inspector General (OIG) issued a final rule to allow Federal financial…
Tuomey Healthcare Systems Found Guilty of Stark Violations
It is a violation of the Stark Law if a hospital contracts with outside physicians to provide surgery exclusively in…
Advisory Bulletin: Effect of Exclusion from Participation in Federal Health Care Programs
The scope and use of the federal program exclusion authority continues to evolve. The DHHS OIG issued on May 8,…
CMS Proposes to Increase Reward for Medicare Fraud Whistleblowers
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule that would reward whistleblowers up to $9.9…
CMS Issues IPPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating Medicare payment policies and rates under…
OIG Revises the Self-Disclosure Protocol
The Department of Health and Human Services Office of Inspector General (OIG) recently issued a revised Self-Disclosure Protocol (SDP). The…
Government Releases Final Rule on the National Practitioner Data Bank
The Health Resources and Services Administration (HRSA) and Department of Health and Human Services (HHS) recently release a final rule…
OIG Releases Revised Provider Self-Disclosure Protocol
On April 17, 2013, the U.S. Department of Healthย and Human Services (HHS) Office of Inspectorย General (OIG) released a revised Provider…
OIG Releases Special Fraud Alert for Physician-Owned Entities
The Office of Inspector General (OIG) issued a special fraud alert concerning physician-owned distributorships (PODs), physician-owned entities that receive revenue…