The HHS Office for Civil Rights (OCR) just announced that its Phase 2 HIPAA audit program has started and that … Read More “OCR Announces that the Phase 2 HIPAA Audit Program Has Already Started”
The United States Department of Health and Human Services Office of Inspector General (“OIG”) issued a short Fraud Alert last … Read More “New OIG Fraud Alert Focuses on Compensation of Medical Directors”
This month, the United States Department of Health and Human Services Office of the Inspector General (“HHS OIG”) released its … Read More “HHS OIG Finds Ulster County DSS 100% Non-Compliant, Demands Refund of $6.3 Million for Unallowable Continuous 24-Hour Personal Care Services”
As far as the Federal government is concerned, it appears that New York is running up quite a bill in … Read More “The Federal Government Adds an Additional $23 Million to New York State’s Medicaid Bill”
New York State is appealing to the Secretary of the United States Department of Health and Human Services (“HHS”) for … Read More “CMS Audit of OPWDD ICFs Seeks Recovery of $1.26 Billion from New York State”
Through their Health Care Fraud Abuse Control program (“HCFAC”), the United States Departments of Justice (“DOJ”) and the United States … Read More “National Health Care Fraud Abuse Control Program Reports Record Recoveries and Return on Investment”
One of the lingering questions about the Health Insurance Marketplace created under the Affordable Care Act is whether plans on … Read More “Applicability of Fraud and Abuse Rules to the Marketplace Clarified … Somewhat”
Just in time for Halloween, in a Medicare audit, the Office of the Inspector General of the Department of Health … Read More “Medicare Payments for Zombies: OIG reveals that Medicare Advantage payments sometimes outlive beneficiaries”
The managed care company WellPoint Inc. has reached a Resolution Agreement with the U.S. Department of Health and Human Services, … Read More “WellPoint Pays $1.7 Million to Resolve Alleged HIPAA Violations”
The United States Department of Health and Human Services Office of the Inspector General (OIG) has issued a Special Advisory … Read More “Exclusion From Federal Health Care Programs: New Guidance From The United States HHS OIG”