What's New
- April 24, 2023
- Toolkit: Analyzing Telehealth Claims to Assess Program Integrity Risks OEI-02-20-00723
- Crow/Northern Cheyenne Hospital—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff A-02-21-02004
- Compliance Guidance Update
- Modification of Advisory Opinion 20-04
- April 21, 2023
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract H6609) Submitted to CMS A-05-19-00013
Enforcement Actions
- April 24, 2023; U.S. Attorney's Office, District of Rhode Island
- Civil Complaint Alleges Millions of Dollars in Medicaid Fraud
- April 20, 2023; U.S. Department of Justice
- Criminal Charges Brought Against Medical Professionals, Owners of Medical Businesses, and Others for a Variety of COVID-19 Fraud Schemes with False Billings Exceeding $490 Million
- April 20, 2023; U.S. Attorney's Office, District of Utah
- Utah Case Part of a Nationwide Law Enforcement Action by the Department of Justice to Combat Health Care Fraud Related to COVID-19