What's New

January 18, 2022

Advisory Opinion 22-01

January 18, 2022

CMS Should Take Further Action To Address States With Poor Performance in Conducting Nursing Home Surveys OEI-06-19-00460

Updated: Corporate Integrity Agreements

Updated: Work Plan

January 14, 2022

Letter to Office of Management and Budget Director to Meet Requirements of Government Charge Card Abuse Prevention Act of 2012 Regarding Agency Progress Implementing Recommendations on Charge-Card-Related Findings A-04-21-06254

Enforcement Actions

January 20, 2022; U.S. Attorney's Office, Northern District of Iowa

Sioux City-Based Physician Group, Tri-State Specialists, L.L.P., Agrees to Pay Over $600,000 to Resolve False Claims Act Allegations

January 20, 2022; U.S. Attorney's Office, Eastern District of Texas

Seven Texas Doctors and a Hospital CEO Agree to Pay over $1.1 Million to Settle Kickback Allegations

January 20, 2022; U.S. Attorney's Office, Eastern District of Missouri

Judge sentences Cape Girardeau, Missouri woman for Medicare and Medicaid fraud

What's Trending

1. Fraud Alert: COVID-19 Scams
2. Walgreen Co. Agreed to Pay $512,000 for Allegedly Violating the Civil Monetary Penalties Law by Paying Remuneration to Health Care Professionals in the Form of Discounts on Retail Product Purchases
3. Tristar Centennial Medical Center Agreed to Pay $725,000 for Allegedly Violating Patient Dumping Statute by Failing to Provide Available Stabilizing Treatment
4. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Healthfirst Health Plan, Inc., (Contract H3359) Submitted to CMS
5. Many Medicare Beneficiaries Are Not Receiving Medication to Treat Their Opioid Use Disorder