SCOTUS Decides Implied Certification Issue in Key False Claims Act (Whistleblower) Case
In a decision that is poised to have resonating implications for health services providers, the […]
Read PostFurther Analysis of 60-day Medicare Overpayment Rule Reveals Emphasis on Proper Compliance Plans
Last week, we highlighted that the Centers for Medicare and Medicaid Services (“CMS) released a […]
Read PostCMS 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 […]
Read PostNew OIG Fraud Alert Focuses on Compensation of Medical Directors
The United States Department of Health and Human Services Office of Inspector General (“OIG”) issued […]
Read PostSeventh Circuit Decision Highlights Scope of Anti-Kickback Statute
This month’s article from the Albany County Bar Association Newsletter offers brief summary of the recent […]
Read PostAttention Medicaid and Medicare Providers: US DOJ Sues Providers for Failing to Return Overpayments Within 60 Days
On June 27, 2014, in the case of United States ex rel. Kane v. Healthfirst, […]
Read PostHHS OIG 2010 Medicare Audit: $6.7 Billion Misspent for Evaluation and Management Services
The United States Department of Health and Human Services Office of the Inspector General (“OIG) […]
Read PostOMIG Posts Assisted Living Program Audit Protocols
The New York State Office of the Medicaid Inspector General (OMIG) has released its final […]
Read PostOMIG 2012-2013 Work Plan: A Brief Overview
“Fighting Fraud. Improving Integrity and Quality. Saving Taxpayer Dollars. This phrase appears on each page […]
Read PostMedicare Fraud Strike Force Charges 91 Individuals for Over $295 Million in False Billing
On Wednesday, the Department of Health and Human Services (“HHS) and the Department of Justice […]
Read PostPitfalls of an Inventory Case in Criminal Prosecution
Two recent Medicaid and Medicare fraud prosecutions from the New York County District Attorney’s Office […]
Read Post
