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25 Mar 2019, 1:09 pm
In their recent letter, the senators request that OIG and CMS respond to a series of questions by April 15, 2019. [read post]
22 Mar 2019, 9:00 am
The Anti-Kickback Statute (AKS) forbids physicians from knowingly and willfully soliciting, paying, offering, or accepting remuneration to: Refer a patient for services or any item for which the payment for that service or item is made (in whole or in part) by a Federal health care agency or Buying, ordering, leasing (or recommending buying, ordering, or leasing) any service, good, or facility (in whole or in part) for which payment for that service, good, or facility is made by a Federal healthcare… [read post]
22 Mar 2019, 4:11 am
Additionally, the rule addresses, among other things: the OIG’s delegated authority and MFCU/OIG coordination; definition of terms; MFCU organizational requirements; MFCU prosecutorial authority; provisions of agreements with state Medicaid agencies; staffing requirements; limits on federal financial participation for data mining activities that duplicate surveillance and utilization review responsibilities of State Medicaid agencies; and disallowance procedures. [read post]
12 Mar 2019, 4:34 am
Certain best practices, such as using certified professional coders to perform audits and implementing routine OIG exclusion checks are signals of strong compliance programs. 5. [read post]
1 Mar 2019, 3:15 pm
Additionally, the OIG has issued reports uncovering gross abuses in the contracting and inspections systems that are critically important for public and congressional oversight. [read post]
26 Feb 2019, 10:00 pm
This Legal Update summarizes some of the significant OIG Work Plan updates released for November 2018, December 2018, January 2019, and February 2019. [read post]
26 Feb 2019, 10:00 pm
This Legal Update summarizes some of the significant OIG Work Plan updates released for November 2018, December 2018, January 2019, and February 2019. [read post]
26 Feb 2019, 8:00 am
The OIG recommended additional notice to beneficiaries be made by hospitals. [read post]
25 Feb 2019, 9:20 pm
</p> </div> <div style="padding-top:0px;padding-bottom:0px;margin-top:0px;margin-bottom:35px;" data-rss-type="text"> <p style="margin:0px;"> Any suspicious calls should be reported to Social Security’s Office of the Inspector General by calling 1-800-269-0271 or <a href="https://oig.ssa.gov/report" target="_blank"> … [read post]
21 Feb 2019, 8:34 am
Berman, the United States Attorney for the Southern District of New York, Mark Tasky, Special Agent in Charge of the New York Regional Office of the Department of Homeland Security Office of Inspector General (“DHS-OIG”), and Margaret Garnett, Commissioner, New York City Department of Investigation (“DOI”), announced today that the United States filed a civil fraud lawsuit today against the CITY OF NEW YORK (the “City”) alleging that the NEW YORK CITY… [read post]
8 Feb 2019, 9:00 am
The OIG has specific suggestions for how this should be done. [read post]
8 Feb 2019, 6:00 am
OIG’s Recent Reports In the first of OIG’s recent reports, dated November 2018, OIG found that Medicare should not have paid suppliers any of the $34 million for DMEPOS items that were provided during inpatient stays. [read post]
8 Feb 2019, 6:00 am
OIG’s Recent Reports: In the first of OIG’s recent reports, dated November 2018, OIG found that Medicare should not have paid suppliers any of the $34 million for DMEPOS items that were provided during inpatient stays. [read post]
5 Feb 2019, 2:01 pm
The post OIG proposes to eliminate safe harbor protection for drug manufacturer rebates to PBMs; proposes two new safe harbors appeared first on Health Law Pulse. [read post]
4 Feb 2019, 8:53 am
Department of Health and Human Services’ Office of Inspector General (HHS-OIG). [read post]
3 Feb 2019, 10:00 pm
In fact, 2018 was another busy year for the Department of Justice (the DOJ) and the Office of the Inspector General for Health and Human Services (the OIG). [read post]
1 Feb 2019, 2:31 pm
Unless the OIG finds the claim is without merit, the claim will be investigated. [read post]
1 Feb 2019, 1:19 pm
Late yesterday, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) released a proposed rule to amend the anti-kickback safe harbors[1] in response to perceived risks that rebates paid by pharmaceutical manufacturers to payors and pharmacy benefit managers (PBMs) may contribute to pharmaceutical list price inflation and not benefit patients and payors. [read post]
21 Jan 2019, 9:26 am
” CVE was allowed to rely on the notes of the OIG special agents “which plainly were inconsistent with the representations Mr. [read post]
16 Jan 2019, 4:13 pm
“Today, the GSA OIG confirmed what we all knew: The Trump Administration is in violation of the Emoluments clauses of the United States Constitution,” said Rep. [read post]
