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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]
3 Feb 2023, 9:00 am
., Board Certified by The Florida Bar in Health Law On January 25, 2023, the US Department of Health and Human Services Office of Inspector General (HHS-OIG) launched a multi-state coordinated law enforcement action to apprehend individuals engaged in a scheme to sell false and fraudulent nursing degree diplomas and transcripts. [read post]
2 Feb 2023, 1:45 pm
., the non-extrapolated overpayments identified in CMS RADV audits and Department of Health and Human Services Office of Inspector General (OIG) audits. [read post]
26 Jan 2023, 8:27 am
TPE Audits: The Process & Expected Targets in 2023 (January 26, 2023): Since the inception of the pilot program in 2015, the Targeted Probe and Educate Audit (TPE audit) program has effectively been a double-edged sword for most providers. [read post]
25 Jan 2023, 6:53 pm
“Despite identifying potential risks associated with research being performed under the EcoHealth awards, we found that NIH did not effectively monitor or take timely action to address EcoHealth’s compliance with some requirements,” the HHS-OIG report said. [read post]
24 Jan 2023, 11:46 am
Regardless, the analysis of this arrangement outlined in this advisory opinion sheds some light on how future arrangements are likely to be reviewed and analyzed by the OIG. [read post]
23 Jan 2023, 10:40 am
Defendants also entered into a Corporate Integrity Agreement (“CIA”) with the HHS Office of Inspector General (HHS-OIG). [read post]
23 Jan 2023, 5:00 am
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) conducted this report by leading a group of OIGs from each of the six federal agencies involved. [read post]
19 Jan 2023, 4:27 pm
The work of the OIG has uncovered pervasive substandard and inadequate care by the staff within these nursing homes. [read post]
19 Jan 2023, 1:00 pm
Further, Gonzales “told the OIG that he used two envelopes to double-wrap the notes. [read post]
19 Jan 2023, 5:00 am
This opinion may present opportunities for providers because it represents a departure from OIG’s typical approach to arrangements involving remuneration from a hospital to a referring physician and demonstrates OIG’s emphasis on healthcare providers offering quality care to federal healthcare program beneficiaries. [read post]
18 Jan 2023, 11:43 am
Both CMS and the OIG issue advisory opinions (CMS less frequently than the OIG) to provide guidance on whether certain financial arrangements are prohibited. [read post]
18 Jan 2023, 8:10 am
” The OIG report confirmed “the contract with LaSalle Corrections went into effect on October 7, 2021, ‘and as of September 3, 2021, ICE no longer house[s] detainees at ICDC. [read post]
17 Jan 2023, 11:09 am
Just in time for the holidays, the Centers for Medicare and Medicaid Services (“CMS”) issued the Contract Year 2024 Proposed Rule for Medicare Advantage organizations (“MAOs”) and Part D sponsors (the “Proposed Rule”). [read post]
6 Jan 2023, 1:43 am
If you are an outlier, a top biller of a procedure code, you are going to attract the attention of the OIG and likely a health care fraud United States Attorney. [read post]
5 Jan 2023, 6:13 am
Relatedly, DHS has started transitioning away from its legacy FOIAXpress Public Access Portal, and is now managing requests across most DHS sub-agencies (with the exception of USCIS, OIG, and the Secret Service) through the new “SecureRelease” platform. [read post]
23 Dec 2022, 11:01 am
To get a sense of the range of inspector general reports, look at the Justice Department OIG’s web page. [read post]
22 Dec 2022, 6:31 am
* * *In addition to the civil settlement, Advanced Bionics entered into a five-year Corporate Integrity Agreement (CIA) with HHS-OIG. [read post]
19 Dec 2022, 10:43 am
Most recently, on Friday, December 9, the Office of the Inspector General (“OIG”) of the Department of Health and Human Services (“HHS”) signed a memorandum of understanding (“MOU”) “to better protect health care consumers and workers from collusion, ensure compliance with laws enforced by OIG and the Antitrust Division, and promote competitive health care markets. [read post]
15 Dec 2022, 4:50 pm
Attorneys’ Offices for the Eastern District of Texas, District of New Jersey, and District of South Carolina, with assistance from HHS-OIG and DCIS. [read post]
