Topic
Fraud & Abuse
129 published works
Elder Law Prof Blog
HHS OIG says that Less Than Half of Part D Sponsors Voluntarily Reported Data on Potential Fraud and Abuse
By Kim Dayton
U.S. Department of Health and Human Services, Office of the Inspector GeneralReport (OEI-03-13-00030) 03-03-2014 Less Than Half of Part D Sponsors Voluntarily Reported Data on Potential Fraud and AbuseSummary: In…
San Antonio Employment Law Blog
KBR Required Confidentiality Agreements in Violation of the False Claims Act
According to a recent Washington Post news report, KBR and Halliburton required its contract employees in Iraq and Afghanistan to not report fraud or waste. They required contract employees…
Health Industry Washington Watch
CMS Extends and Expands Moratoria on Enrollment of Home Health Agency, Ambulance Suppliers in Designated Areas
Citing significant potential for fraud and abuse, CMS has announced that it is temporarily suspending new home health agency (HHA) and ground ambulance enrollment in Medicare, Medicaid, and the Children’s…
Health Industry Washington Watch
OIG Issues Fall 2013 Semiannual Report
The OIG has issued its Semiannual Report to Congress for the period of April 1 – September 30, 2013, in which it highlights significant investigation, audit, and enforcement activities and achievements…
Health Care Law Matters
The Compliance Program Mandate is Coming – Don’t Wait for It
It is still evident to me that too many physician practices still do not have effective fraud and abuse compliance programs integrated into their practices. To date there has been…
Government Contracts & Investigations Blog
OIG Investigations (Without Subpoena Bells and Whistles) Coming to a Program Near You
By Scott Roybal, Joseph Barton
The Inspector General Act of 1978 aimed to “consolidate existing auditing and investigative resources to more effectively combat fraud, abuse, waste and mismanagement in the programs and operations of [the…
Health Industry Washington Watch
CMS Redesigns Medicare Summary Notices
CMS has announced the redesign of the beneficiary Medicare Summary Notice (MSN) to enhance clarity and help seniors identify potential fraud, waste, and abuse. The MSN lists all services or…
Health Industry Washington Watch
OIG Publishes Updated Provider Self-Disclosure Protocol
By Scot Hasselman, Susan Edwards
The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) has issued a revised version of its Provider Self-Disclosure Protocol (Updated SDP), dated April 17,…
Med Law Blog
OIG KO’s PODs: Physician Owned Distributorships
The OIG has issued a Special Fraud Alert, dated March 26, 2013, describing specific attributes and practices of Physician Owned Distributorships (PODs) believed to produce substantial fraud and abuse risk…
Medicare-Medicaid Audit World
Evaluation and Management Codes – The Newest Audit Target
Over the past couple of weeks there has been considerable press attention to the fact that over the last 10 years bills submitted by doctors to CMS for evaluation and…