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7 Mar 2023, 7:56 am
CMS “expects to issue revised guidance to implement the Medicare Prescription Drug Inflation Rebate Program” in the 4th quarter of 2023, but has specified that timing may be adjusted as necessary.[1] Part B Rebates The Initial Inflation Rebate Guidance for Part B was released only two days after the Office of the Inspector General (“OIG”) at the U.S. [read post]
7 Mar 2023, 7:14 am
On February 24, 2023, the Drug Enforcement Agency (“DEA”) announced proposed permanent rules around prescribing controlled substances via telemedicine that expand the circumstances under which practitioners can prescribe controlled substances without first conducting an in-person medical evaluation of the patient outside of the COVID-19 public health emergency (“PHE”). [read post]
2 Mar 2023, 12:51 pm
The OIG should release this information to the public: knowing the aggregate totals would not harm any active investigation, but rather inform public debate over the agencies' reliance on this invasive technology. [read post]
1 Mar 2023, 12:24 pm
* * *In connection with the settlement, the United States Department of Health and Human Services, Office of Inspector General (HHS OIG), negotiated voluntary exclusions of the individuals and entities. [read post]
1 Mar 2023, 9:29 am
This applies to both CMS RADV audits as well as Department of Health and Human Services Office of Inspector General (“OIG”) RADV audits. [read post]
1 Mar 2023, 8:00 am
Last July, the Department of Health and Human Services’ Office of Inspector General (“OIG”) published a Special Fraud Alert detailing high-risk activities conducted by telehealth providers and has, to date, indicted 31 telehealth providers alleging various health care fraud and abuse schemes. [read post]
24 Feb 2023, 8:23 am
“In 2015, an OIG report was issued in response to the complaints of Davis and substantiated many of his allegations,” WNN reported. [read post]
23 Feb 2023, 10:30 pm
When Minnie Smith's death was discovered, payments were stopped and the Comptroller DiNapoli’s Division of Investigations coordinated with the SSA-OIG, which was conducting its own review of the fraud. [read post]
23 Feb 2023, 10:30 pm
When Minnie Smith's death was discovered, payments were stopped and the Comptroller DiNapoli’s Division of Investigations coordinated with the SSA-OIG, which was conducting its own review of the fraud. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
22 Feb 2023, 10:00 pm
The Centers for Medicare and Medicaid Services (CMS) issued a final rule on the use of extrapolation to determine overpayments in risk adjustment data validation (RADV) audits of Medicare Advantage organizations (MAOs) and for audits conducted by the Office of Inspector General (OIG), effective for payment year 2018. [read post]
15 Feb 2023, 8:20 am
“The VA OIG will continue to work with the Department of Justice and our law enforcement partners to ensure the integrity of VA programs and services. [read post]
14 Feb 2023, 7:23 am
This report can serve as a reminder that the OIGs and DOJs of the world are out there, so make sure your ship is in order. [read post]
13 Feb 2023, 5:26 pm
“The VA OIG will continue to work with the Department of Justice and our law enforcement partners to ensure the integrity of VA programs and services. [read post]
10 Feb 2023, 10:54 am
El estudio reveló que desde el año 2010, la JRT no ha revisado su reglamentación, para actualizarla a los cambios de ley, operacionales, de procesos y administrativos ocurridos en los últimos cinco años. [read post]
4 Feb 2023, 8:12 am
This case was investigated by the Cleveland FBI, the Office of Inspector General (OIG) for the United States Department of Health and Human Services (HHS), and the Ohio Attorney General’s Healthcare Fraud Section. [read post]
