What's New
- April 21, 2023
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That HumanaChoice (Contract H6609) Submitted to CMS A-05-19-00013
- April 20, 2023
- 2023 Nationwide COVID-19 Health Care Fraud Enforcement Action
- April 19, 2023
- Updated: CMP and Affirmative Exclusions
Enforcement Actions
- 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
- April 20, 2023; U.S. Department of Justice
- Two Doctors Sentenced for Stealing $31M From Medicare