CMS Announces the Formation of 123 New Accountable Care Organizations.
The Centers for Medicare & Medicaid Services (CMS) issued a press release announcing the formation of 123 new accountable care…
Genzyme Corp. Settles False Claims Allegations Related to “Slurry” Used in Patients for Over $22 Million.
The Department of Justice (DOJ) announced that Genzyme Corp. has agreed to pay $22.28 million to settle false claims allegations…
The DOJ Announces $3.8 Billion in False Claims Recoveries for FY 2013.
The Department of Justice (DOJ) announced that it secured $3.8 billion in settlements and judgments from false claims cases in…
OIG Issues Report Recommending Review of Clinicians with High Cumulative Medicare Part B Payments.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report focused on clinicians generating…
OIG Issues Top Management Challenges for 2013.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a list of the biggest management…
The OIG Issues a Report on Medicare Nursing Home Hospitalization Rates
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a report analyzing Medicare nursing home…
The OIG Releases the Strategic Plan for 2014-2018
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released the Strategic Plan for fiscal…
CMS Issues Transmittal Summarizing CY 2014 MPFS Final Rule Policies and Announcing the Telehealth Originating Site Facility Fee Payment Amount.
The Centers for Medicare & Medicaid Services (CMS) issued a transmittal summarizing the policies in the calendar year (CY) 2014…
CMS Updates Stage 2 EHR Tip Sheet
The Centers for Medicaid & Medicare Services (CMS) recently updated a tip sheet on Stage 2 of the Medicare and…
GAO Releases a Report on States’ Reporting of Overpayments.
In a recent study, the Government Accountability Office (GAO) assessed states’ efforts to recover and report Medicaid overpayments identified by…
The OIG Reports that OCR Failed to Meet Federal Requirements in its Oversight and Enforcement of the HIPAA Security Rule.
The Department of Health and Human Services Office of Inspector General (OIG) recently reported that the Office for Civil Rights…
Miami Home Health Company Owners and Recruiters Participated in a $48 Million Fraud Scheme.
The U.S. District Judge in the Southern District of Florida recently sentenced Emilio Amador, a patient recruiter of a Miami…