OIG Issues Fall 2014 Semiannual Report to Congress.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its Fall 2014 (April-September) Semiannual…
OtisMed Pleads Guilty to Distributing Adulterated Medical Devices.
OtisMed Corporation (OtisMed) and its former chief executive officer (CEO) recently pleaded guilty to intentionally distributing knee replacement surgery cutting…
CMS Issues Final Rule Strengthening Medicare Provider Oversight.
The Centers for Medicare & Medicaid Services (CMS) recently issued a final rule designed to prevent Medicare providers and suppliers…
DOJ Reports Recovery of Over $5 Billion from Fraud and Abuse Case Settlements and Judgments
The Department of Justice (DOJ) announced a $5.69 billion recovery stemming from fraud and false claim actions in fiscal year…
CMS Releases Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently released a final rule with comment period revising payment policies under…
CMS Issues CY 2015 OPPS and ASC Final Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued the Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center…
DaVita Pays $350 Million and Enters into a CIA.
DaVita Healthcare Partners, Inc. (DaVita) has settled with the government for $350 million to resolve claims that it paid kickbacks…
CMS Issues Proposed Rule Updating the Conditions of Participation for HHAs.
On October 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule updating home health agency (HHA)…
OIG Proposes Rule Changing AKS and CMP Regulations.
The Department of Health and Human Services Office of Inspector General (OIG) recently published a proposed rule modifying the Anti-Kickback…
OIG Publishes FY 2015 Work Plan.
On October 31, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) published the Work Plan…
First Release of Open Payments Data Published by CMS.
The Centers for Medicare & Medicaid Services (CMS) has published Open Payments data for the first time, related to payments…
CMS Offers Settlement Agreements to Resolve Patient Status Claims Denials.
The Centers for Medicare & Medicaid Services (CMS) is allowing hospitals to settle claims denied based on patient status for…