How Kickbacks Result in Civil False Claims Fraud Actions
Overview A continual enforcement priority for both the Department of Health and Human Services Office of Inspector General (OIG) and…
OIG Adds Five New Work Plan Items in October.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued five updates to its Active…
ONC and OCR Update Security Risk Assessment Tool.
The Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) and Office…
OIG Publishes Fraud Risk Indicator to Increase Transparency around High Risk Providers.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently published a Fraud Risk Indicator and…
GAO Report on Data Analytics for Oversight and Law Enforcement
Overview Over the years, the Department of Health and Human Services Office of Inspector General and the Centers for Medicare…
ONC and OCR Update Security Risk Assessment Tool.
The Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC) and Office…
OIG Issues Advisory Opinion on Health Plan’s Incentive Payment Program for Preventive Services.
The Department of Health and Human Services Office of Inspector General (OIG) recently issued an advisory opinion regarding a Medicaid…
CMS Finalizes Payment and Policy Changes for Home Health Agencies
The Centers for Medicare & Medicaid Services (CMS) recently finalized payment and policy changes for Home Health Agencies (HHAs) and…
CMS Publishes Annual Adjustments to ALJ Hearings and Judicial Review Threshold Amounts
The Centers for Medicare & Medicaid Services (CMS) recently published the annual adjustments to the amount in controversy (AIC) threshold…
CMS Announces Changes to the Medicare Local Coverage Determination Process
The Centers for Medicare & Medicaid Services (CMS) recently announced changes to the Medicare Local Coverage Determination (LCD) process. Under…
HHS Issues Final Rule with Annual Civil Monetary Penalties Inflation Adjustments.
The Department of Health and Human Services (HHS) recently published a final rule detailing the annual inflation-related increases to the…
OIG Updates Work Plan with Two Projects in September.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued two updates to its Active…