CMS Proposes to Increase Reward for Medicare Fraud Whistleblowers
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule that would reward whistleblowers up to $9.9…
CMS Issues IPPS Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule updating Medicare payment policies and rates under…
OIG Revises the Self-Disclosure Protocol
The Department of Health and Human Services Office of Inspector General (OIG) recently issued a revised Self-Disclosure Protocol (SDP). The…
Government Releases Final Rule on the National Practitioner Data Bank
The Health Resources and Services Administration (HRSA) and Department of Health and Human Services (HHS) recently release a final rule…
OIG Releases Revised Provider Self-Disclosure Protocol
On April 17, 2013, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released a revised Provider…
OIG Releases Special Fraud Alert for Physician-Owned Entities
The Office of Inspector General (OIG) issued a special fraud alert concerning physician-owned distributorships (PODs), physician-owned entities that receive revenue…
CMS Issues a Ruling and Proposed Rule on Medicare Part B Billing Policies for Hospital Outpatient Services
The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule authorizing Medicare Part B payment following a…
HHS Announces Plans to Accelerate Health Information Exchange
The Department of Health and Human Services (HHS) recently issued a request for information (RFI), which includes several potential new…
OIG Releases Report on SNFs Deficiencies Related to Care and Discharge Planning Requirements
The Department of Health and Human Services Office of Inspector General (OIG) conducted a study related to skilled nursing facilities’…
HHS and DOJ Release the Health Care Fraud and Abuse Program Report
The Department of Health and Human Services (HHS) and the Department of Justice (DOJ) recently released the Health Care Fraud…
PPACA “Sunshine” Rule Increases Transparency in Health Care
On February 1, the Centers for Medicare & Medicaid Services (CMS) announced the “Sunshine” final rule, also known as the…
DOJ Sentences Four to Prison for Involvement in a $205 Million Health Fraud Scheme
Four individuals were recently sentenced to prison for their involvement in a $205 million Medicare fraud scheme.