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…
HHS OIG Proposes Changes to AKS Discount Safe Harbor
In early February, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) proposed amendments to the Anti-Kickback…
OIG Issues Advisory Opinion on Charitable Pediatric Clinic Providing Cost-Sharing Waivers
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an advisory opinion regarding a…
How Kickbacks Result in Civil False Claims Fraud Actions
Overview A continual enforcement priority for both the Department of Health and Human Services Office of Inspector General (OIG) and…
GAO Report on Data Analytics for Oversight and Law Enforcement
Overview Over the years, the Department of Health and Human Services Office of Inspector General and the Centers for Medicare…
OIG Issues Advisory Opinion on Health Plan’s Incentive Payment Program for Preventive Services.
The Department of Health and Human Services Office of Inspector General (OIG) recently issued an advisory opinion regarding a Medicaid…