What's New

May 10, 2023

Review of the Department of Health and Human Services' Compliance with the Federal Information Security Modernization Act of 2014 for Fiscal Year 2022 A-18-22-11200

LEIE Database Updated with April 2023 Exclusions and Reinstatements

May 9, 2023

Updated:

• CIA Reportable Events
• Fraud Self-Disclosures

May 4, 2023

Medicare Improperly Paid Providers for Some Psychotherapy Services, Including Those Provided via Telehealth, During the First Year of the COVID-19 Public Health Emergency A-09-21-03021

Enforcement Actions

May 9, 2023; U.S. Department of Justice

Advanced Practice Registered Nurse Pleads Guilty To Unlawful Distribution Of Controlled Substances And Health Care Fraud

May 9, 2023; U.S. Attorney's Office, Eastern District of Kentucky

Drug Testing Companies Agree To Collectively Pay $1.7 Million To Resolve False Claims Act Allegations

May 9, 2023; U.S. Attorney's Office, District of Connecticut

Hospital Owner And Hospitalist Group Agree To Pay $560K To Settle False Claims Act Allegations

What's Trending

1. Operation Nightingale
2. Medicare Could Have Saved Up To $128 Million Over 5 Years if CMS Had Implemented Controls To Address Duplicate Payments for Services Provided to Individuals With Medicare and Veterans Health Administration Benefits
3. OIG’s COVID-19 Public Health Emergency Flexibilities End on May 11, 2023 Upon Expiration of the COVID-19 Public Health Emergency Declaration
4. Toolkit: Analyzing Telehealth Claims to Assess Program Integrity Risks
5. Compliance Guidance