GAO Reports on Improper Medicare Advantage Payments.
The Government Accountability Office (GAO) recently testified about improper payments made to Medicare Advantage Organizations (MAOs) before Congress. The GAO’s…
CMS Emergency Preparedness Requirements to be Implemented in November 2017.
CMS will implement the final rule regarding emergency preparedness requirements for Medicare and Medicaid Providers and Suppliers (Program Participants) on…
Medicare Trustees Release 2017 Annual Report on Medicare Trust Fund Status.
The Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (Trustees) recently released a…
BLS Reports Increase of Nearly 40,000 New Health Care Employees.
The Bureau of Labor Statistics (BLS) recently reported on the increase in health care sector hiring. According to the BLS,…
OIG Alerts CMS to Inadequate Patient Abuse Oversight in Skilled Nursing Facilities.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an ‘Early Alert’ memorandum to…
OIG Issues Advisory Opinion on Proposal to Waive or Reduce Cost-Sharing Amounts Under a Medicare CED Study.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an advisory opinion regarding a…
CMS Issues Proposed Rule Updating Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems.
The Centers for Medicare & Medicaid Services (CMS) recently proposed changes to the Hospital Outpatient Prospective Payment System (OPPS) and…
U.S. House of Representatives Passes American Health Care Act of 2017.
The United States House of Representatives (the “House”) recently voted to pass the American Health Care Act of 2017, H.R.…
U.S. House of Representatives Withdraws Vote on the American Health Care Act.
The United States House of Representatives (House) postponed a vote on the American Health Care Act of 2017, H.R. 1628…
Three Individuals Charged in $1 Billion Health Care Fraud Scheme.
The Department of Justice (DOJ) recently announced that it brought criminal charges against three individuals for their participation in a…
DOJ Announces $900 Million National Health Care Fraud Enforcement Action.
The Department of Justice (DOJ) recently announced the largest Medicare Fraud Strike Force sweep to date, resulting in charges against…
CMS Issues Final Rule Modernizing Medicaid Managed Care.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule modernizing managed care in Medicaid and the…