$50 Million Anti-Kickback and Stark Law Settlement
Key Points: Physician Arrangements continue to be the highest enforcement priority for the DOJ and OIG “Whistleblower” to receive $10,000,000…
Exit Interviews as Another Significant Communication Channel
Understanding the Objectives, Challenges, and Use of Exit Interviews Is Critical One of the first things the Federal Bureau of…
Navigating an integrity agreement with the OIG: A resource for practitioners
By Cornelia Dorfschmid and Nicole Caucci Cornelia Dorfschmid ([email protected]) is Executive Vice President at Strategic Management Services, LLC in Alexandria, VA.…
Proposed Rule Changes for Stark Law and Anti-Kickback Statute
The stated purpose of this proposed rule change is to protect value-based payments, coordinated care, and patient engagement. This will…
CMS Proposes Changes to the Stark Law Regulations
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to reduce the regulatory impact and burden…
Summary of Last Year’s Health Care Enforcement Actions
For the 2018 fiscal year, the Department of Health and Human Services Office of Inspector General (OIG) recently reported results…
OIG Publishes Annual Report on Top 25 Unimplemented Recommendations
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its annual report on solutions…
HHS OIG Cites Ways to Reduce Healthcare Fraud, Waste, And Abuse
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) annually summarizes unimplemented recommendations that it believes…
OIG Releases Spring 2019 Semiannual Report to Congress.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its first Semiannual Report (Report)…
FBI Report on Cyber-Crime Extortions
In 2018, the Federal Bureau of Investigation (FBI) reported receiving 51,146 extortion-related cyber-crime complaints that involved adjusted losses of over $83 million.…
New OIG Final Rule Regarding State Medicaid Fraud Control Units
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has released a final rule to align the regulations…
OIG Releases FY 2020 Budget Justification.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its Fiscal Year (FY) 2020…