JD Supra12h
OIG Nursing Facility Compliance Program Guidance: Renewed Focus on Fraud and Abuse
The US Department of Health and Human Services Office of Inspector General’s (OIG’s) release of Nursing Facility Industry Segment-Specific ...
JD Supra1d
OIG Issues Favorable Opinion on Pharmaceutical Manufacturer’s Free Product Program
In its first advisory opinion of the year, the Office of Inspector General for the U.S. Department of Health and Human Services (OIG) assessed ...
Just The News6d
Federal watchdog warns fraudsters diverting taxpayer money from Medicare and Medicaid
The schemes targeting contractors and state agencies diverted nearly $27 million from the federal health programs that have ...
HHS says scheme to defraud Medicare, Medicaid has resulted in millions lost
The scheme, according to the Department of Health and Human Services Office of Inspector General, targets Medicare and Medicaid with fraudulent funds transfer requests from individuals posing as ...
Kansas Reflector1d
Kansas Democrats liken bill to expand inspector general’s authority to AG ‘power grab’
A bill expanding the authority of the office responsible for investigating Kansas’ Medicaid program was regarded Tuesday by ...
Law15d
The OIG’s Special Fraud Alert on Medicare Advantage Marketing Arrangements
These arrangements may improperly drive Medicare enrollees to specific MA plans or healthcare providers based on financial incentives rather than the enrollees’ needs. The OIG’s special fraud ...
Detroit Free Press13d
Medicaid is at the center of national debate. Here's how many Michiganders use the program
The OIG has the authority to exclude companies or individuals who are convicted in criminal or civil fraud cases from getting federal Medicaid or Medicare payments. In 2023, more than 2,100 people ...
KFF Health News on MSN7d
UnitedHealth Wins Ruling Over $2B in Alleged Medicare Advantage Overpayments
The civil fraud case against UnitedHealth Group, the nation’s largest Medicare Advantage insurer, was filed in 2011 by ...