CMS Publishes Annual Adjustments to ALJ Hearings and Judicial Review Threshold Amounts
The Centers for Medicare & Medicaid Services (CMS) recently published the annual adjustments to the amount in controversy (AIC) threshold…
CMS Announces Changes to the Medicare Local Coverage Determination Process
The Centers for Medicare & Medicaid Services (CMS) recently announced changes to the Medicare Local Coverage Determination (LCD) process. Under…
HHS Issues Final Rule with Annual Civil Monetary Penalties Inflation Adjustments.
The Department of Health and Human Services (HHS) recently published a final rule detailing the annual inflation-related increases to the…
OIG Updates Work Plan with Two Projects in September.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued two updates to its Active…
CMS Issues Proposed Rule to Increase Efficiency, Transparency, and Reduce Regulatory Burden
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule aiming to reduce regulatory burdens in accordance…
Hiring Experts to Cover Compliance Officer Vacancies
Overview Compliance Officers who leave health care organizations can do so for a variety of reasons such as retiring, moving…
Post Acute Medical Pays $13.16 Million to Settle False Claims Act Allegations.
The Department of Justice (DOJ) recently announced that it has reached a $13,168,000 False Claims Act settlement with Post Acute…
OIG Updates Work Plan with New Projects in August.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued the August updates to its…
DOJ Announces Formation of Newark/Philadelphia Medicare Fraud Strike Force
The Department of Justice (DOJ) Criminal Division recently announced the formation of the Newark, New Jersey/Philadelphia, Pennsylvania Regional Medicare Fraud…
How to Prepare for a New Compliance Officer
Overview Oftentimes incoming Compliance Officers will inherit significant compliance problems when they join an organization or step into the role.…
Updates Work Plan with New Projects for July 2018.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued updates to its OIG Active…
Reports on Weaknesses in MCOs’ Identification of Medicaid Fraud and Abuse.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report detailing the weaknesses…