OIG Issues Advisory Opinion on Proposal to Waive or Reduce Cost-Sharing Amounts Under a Medicare CED Study.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an advisory opinion regarding a…
CMS Issues Final Rule Implementing Changes to the PERM and MEQC Programs.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule to implement changes to the Payment Error…
Congress Holds Hearing on HHS Cybersecurity Role.
The Subcommittee on Oversight and Investigations of the United States Congress Committee on Energy and Commerce recently held a hearing…
Tips for Developing Annual Compliance Program Review Plans.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has called for the independent annual review…
Practical Advice on Being an Effective Compliance Officer.
How do Compliance Officers remain effective in today’s regulatory and competitive business environment? Compliance experts with years of experience in…
OIG Issues Semi-Annual Report to Congress for FY 2017.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its spring Semi-Annual Report covering…
OIG Reports on Modifications to its Annual Work Plan.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported on modifications to their annual…
DOJ and CMS Investigate Large Oncology Provider for Fraud.
The Department of Justice (DOJ), the Centers for Medicare and Medicaid Services (CMS) and several additional federal agencies have recently…
DOJ Reports on Sentencing for Former Tufts Health Plan Employee Who Disclosed PHI.
The Department of Justice (DOJ) recently reported that a former Tufts Health Plan employee was sentenced in federal court for…
CMS Readies Fraud Prevention Initiative to Issue New Medicare Beneficiary Cards by April 2019.
The Centers for Medicare and Medicaid Services (CMS) is readying a fraud prevention initiative that removes Social Security numbers from…
DOJ Announces $34 Million False Claims Settlement with Two Missouri Hospitals.
The Department of Justice (DOJ) recently announced their false claims settlement with two southwest Missouri health care providers. Mercy Hospital…
OCR Announces $2.4 Million HIPAA Settlement with Memorial Hermann Health System.
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently reported on their compliance review of…