CMS Releases Final Rule on 60-day Medicare Overpayment Reporting Obligations

This morning, the Centers for Medicare and Medicaid Services (“CMS”) made available a copy of a final rule clarifying the obligations of providers and suppliers to report and return Medicare overpayments within 60 days after the date on which the overpayment was identified.  The final rule will be published in tomorrow’s Federal Register.

New OIG Fraud Alert Focuses on Compensation of Medical Directors

The United States Department of Health and Human Services Office of Inspector General (“OIG”) issued a short Fraud Alert last week focusing on the anti-kickback implications of certain compensation paid to medical directors. OIG noted that it had recently settled with a dozen physicians who had entered into medical director positions of various health care […]

United States HHS OIG Reviewing Self Disclosure Protocol for Federal Health Care Programs

The federal government’s Office of the Inspector General (“OIG”), part of the United States Department of Health and Human Services, is considering revising its self-disclosure protocol to provide additional guidance to federal health care program providers.  The OIG is soliciting comments from all sources on the process by which health care providers can report overpayments […]

CMS Issues Final Rule on Civil Money Penalties for Nursing Homes

On March 18, 2011, the Centers for Medicare and Medicaid Services (“CMS”) issued new federal regulations implementing Section 6111 of the Patient Protection and Affordable Care Act and changing the way the federal government imposes and collects civil money penalties (“CMPs”) when nursing homes do not meet Medicare and Medicaid participation requirements.  The Final Rule […]

$4.3M Civil Monetary Penalty for HIPAA Privacy Violation

On February 22, HHS issued a Notice of Final Determination imposing a civil monetary penalty of $4.3 million against Cignet Health of Prince George’s County, Md., representing the first civil monetary penalty issued by the Department for a covered entity’s violations of the HIPAA Privacy Rule.  The HHS found that Cignet violated 41 patients’ rights […]