OIG Semiannual Report Results Summary Fiscal Year 2023
Key Points: OIG released the 2023 Semiannual Report to Congress (April 1 to September 30), describing significant risks, problems, abuses,…
OIG Guidance on Financial Arrangements
The vast majority of healthcare fraud enforcement actions by the DOJ and OIG are based on financial arrangements with referral…
OIG Issues New General Compliance Program Guidance
On November 6, 2023, the DHHS OIG published its long-awaited General Compliance Program Guidance (GCPG). It has been 15 years since the…
OIG Issues Final Rule on Information Blocking Enforcement
Civil Monetary Authority enforcement rule is now in effect The Cures Act defines information blocking as “a practice that interferes…
Corporate Integrity Agreements Provide Insight Into Compliance Priorities
CIA terms pinpoint OIG compliance priorities At any given time, over 300 OIG CIAs are in force, with more being…
Defending Overpayment Demands
Key Points: The HHS OIG depends on statistical sampling to gather the necessary supporting documentation for determining the error rates…
OIG to Update Compliance Program Guidance Documents
The HHS OIG announced it is modernizing the accessibility and usability of their publicly available resources. This includes their Compliance…
OIG Reports Not Having Enough Agents To Take On All Fraud Cases
Key Points: The HHS Inspector General’s April 2023 testimony before Congress reported that although the OIG is addressing cases of…
OIG Advisory Opinion Regarding Prepaid Gift Cards to Patients – No. 23-03
The OIG Advisory Opinion 23-03 regarded a “proposal to provide a prepaid card, such as a Visa or Mastercard gift…
OIG Reported Significant Improper Denials Of Prior Authorization Requests
Join us for an upcoming Webinar! You can register here for a free CEU credited webinar, “Building Blocks for Effective…
Engaging Excluded Individual For Work Not Paid By Federal Healthcare Programs Would Not Be Grounds For Sanctioning
The Department of Health and Human Services Office of Inspector General (OIG) issued a new Advisory Opinion 22-11 in response…
What Compliance Officers Should Do When DOJ or OIG Enforcement Is Imminent
What Organizations Should ExpectWhat Steps to Take Before Settlement When organizations become aware they are the subject of an impending…