Topic
Program Integrity
26 published works
Health Industry Washington Watch
OIG, GAO Examine Medicare & Medicaid Program Integrity/Provider Screening Issues
The HHS Office of Inspector General (OIG) and the Government Accountability Office (GAO) have recently examined a number of Medicare and Medicaid provider screening and related program integrity issues. The…
Health Industry Washington Watch
CMS Proposes Program Integrity Enhancements to the Provider/Supplier Enrollment Process, including New Affiliated Provider Disclosure Requirements
By Daniel A. Cody, Debra A. McCurdy
On March 1, 2016, CMS is publishing a proposed rule that would make a variety of changes to the Medicare, Medicaid, and CHIP provider and supplier enrollment requirements. CMS believes…
Health Industry Washington Watch
Extensive Medicare & Medicaid Funding and Program Integrity Provisions in Obama’s Released FY 2017 Budget Proposal
By Carol Loepere, Paul W. Pitts, Debra A. McCurdy
On February 9, 2016, the Obama Administration released its proposed fiscal year (FY) 2017 budget, which contains significant Medicare and Medicaid reimbursement and program integrity legislative proposals – including $419…
EB-5 Insights
EB-5 Industry Seeks Reauthorization and Measures to Enhance Program Integrity
On November 19, 2015, 70 key stakeholders of the EB-5 industry, led by The Real Estate Roundtable, the U.S. Chamber of Commerce, and the EB-5 Investment Coalition, sent a letter…
Health Industry Washington Watch
OIG Issues 2015 Compendium of Unimplemented Recommendations
The OIG has released its March 2015 “Compendium of Unimplemented Recommendations,” which highlights the OIG’s top 25 recommendations for cost savings and/or quality improvements in HHS programs, along with other…
Health Industry Washington Watch
GAO Highlights Medicare Program Risks and Recommends Program Integrity Actions
The Government Accountability Office (GAO) has released its latest update to its “High-Risk Series” reports, which again lists Medicare as a high-risk program, in part because of the program’s substantial…
Health Industry Washington Watch
GAO Catalogues CMS Medicare Part D Program Integrity Practices
A recent GAO report, “Medicare Program Integrity: CMS Pursues Many Practices to Address Prescription Drug Fraud, Waste, and Abuse,” lists current and planned CMS prevention, detection, and monitoring policies intended…
Health Industry Washington Watch
OIG Releases Spring Semiannual Report Highlighting Major Program Integrity Efforts
The OIG has issued its spring Semiannual Report to Congress, which summarizes major OIG activities during the period of October 2013 through March 2014. The OIG highlights “ramped up” oversight…
Health Industry Washington Watch
HHS OIG Identifies “Top 25” Priorities
The OIG has released its “Compendium of Priority Recommendations,” which lists 25 priority issues for which the OIG has open recommendation and that, if implemented, would best protect the integrity of…
Health Industry Washington Watch
OIG Finds Medicare Contractors Lax on Medicare Vulnerabilities Associated with EHR Use
The OIG has issued a report entitled “CMS and Its Contractors Have Adopted Few Program Integrity Practices to Address Vulnerabilities in EHRs,” which concluded that few Medicare contractors were reviewing…