OIG Reports on CMS Validation Procedures for Part D Prescriber Identifiers.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released a report on the effectiveness…
CMS Issues Additional Guidance for Physicians Participating in the Merit-based Incentive Payment System.
CMS recently issued additional guidance for physicians regarding Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) and Quality Payment…
Tips for Due Diligence In Healthcare: Mergers and Acquisitions
Mergers and acquisitions (M&A) have become commonplace in the healthcare industry. Some M&As are monumental in scope, but most relate…
Practical Advice on the Importance of Using Interim Compliance and Privacy Officers.
Health care providers are generally aware of the need for Compliance and Privacy Officers to manage an effective compliance program…
Report Finds Florida Rarely Punishes Doctors Sued for Malpractice
South Florida’s newspaper, The Sun-Sentinel, reports that state regulators rarely punish Florida doctors, even after those doctors are sued for malpractice.…
Detroit Area Physician Pleads Guilty to Health Care Fraud Conspiracy in $19 Million Medicare Fraud Scheme.
The Department of Justice (DOJ) recently reported that a Michigan physician pleaded guilty to one count of conspiracy to commit…
OIG Issues Report on Effectiveness of CMS Capitation Payment Policies in Preventing Payments for Deceased MA Beneficiaries.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released a report regarding the Centers…
AHA Requests CMS to Address Flawed OIG Audits.
The American Hospital Association (AHA) recently drafted a letter requesting that the Centers for Medicare and Medicaid Services (CMS) address…
Physician Sentenced to Prison for Role in $4.8 Million Medicare Fraud Scheme.
The Department of Justice (DOJ) recently reported that a Miami, Florida physician was sentenced to 97 months in prison for…
GAO Reports on CMS Fraud Prevention Activities.
The Government Accountability Office (GAO) recently released a report analyzing the Centers for Medicare and Medicaid’s (CMS) use of its…
OIG Testifies Before Congress on Key Improvements to the 340B Program.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently testified before Congress on ways to…
Practical Advice on Converting Compliance Plans into Compliance Programs.
In its earlier compliance guidance, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) used the…