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…
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…
DME Fraud Remains High Enforcement Priority
Overview In the health care industry, instances of fraud, waste and abuse can occur anywhere, whether in a hospital or…
CMS Proposes to Reduce Regulatory Burden on Providers
Proposal expected to save U.S. healthcare facilities $1.12 billion per year The Centers for Medicare & Medicaid Services (CMS) recently…
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…
OIG Update on Opioid Use In Medicare Part D
The opioid crisis has been declared a public health emergency, with more than 42,000 opioid-related overdose deaths occurring in the…
New Initiatives to Curb Medicaid Fraud and Abuse
Medicaid spending is on the rise and various government agencies are looking to cut down on improper payments. The U.S.…
Congress Raises Concerns of Inadequate Patient Protection in Skilled Nursing Facilities
The House of Representatives Committee on Energy and Commerce (the Committee) sent a letter to Centers for Medicare and Medicaid…
CMS and VA Announce Partnership to Address Fraud, Waste, and Abuse.
The Department of Veterans Affairs (VA) and the Centers for Medicare & Medicaid Services (CMS) recently announced a partnership designed…
OIG Reports That CMS Generally Met Its Policy And Legal Requirements In Round Two Of The DMEPOS Competitive Bidding Program
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported its findings on the Durable…
CMS Reports 2017 Medicare Fee-For-Service Improper Payments Dropped Below 10 Percent
CMS recently reported a reduction in the rate of improper Medicare Fee-For-Service (FFS) payments from 11.0 percent in 2016 to…
New CMS Instructions for the 2-Midnight Rule
MACs given new directions on 2-midnight rule settlement agreements The Centers for Medicare and Medicaid Services (CMS) recently announced partial…