As the industry eagerly awaits the outcome of the “Regulatory Sprint to Coordinated Care”—the multi-pronged, inter-agency initiative within the Department of Health and Human Services (HHS) to identify and remove barriers to...more
The Department of Health and Human Services, Office of Inspector General (OIG), in conjunction with the Health Care Compliance Association, recently released a resource document to help healthcare organizations measure the...more
The Department of Health and Human Services, Office of Inspector General (OIG) published a final rule on January 12, 2017, expanding the OIG’s authority to exclude providers from participation in federal healthcare programs....more
1/31/2017
/ Administrative Authority ,
Affordable Care Act ,
Aggravating Factors ,
Anti-Kickback Statute ,
Audits ,
Controlled Substances ,
Department of Health and Human Services (HHS) ,
Exclusionary Authority ,
False Claims Act (FCA) ,
False Statements ,
Health Care Providers ,
Misrepresentation ,
OIG ,
Secretary of HHS ,
Statute of Limitations
On April 20, 2015, the U.S. Department of Health and Human Services Office of Inspector General (OIG), in conjunction with the American Health Lawyers Association (AHLA), the Association of Healthcare Internal Auditors (AHIA)...more
On December 27, 2013, the U.S. Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) and the Centers for Medicare & Medicaid Services (CMS) issued final rules revising the Stark exception (42 CFR...more
On January 7, 2013, the Department of Health and Human Services Office of Inspector General (“OIG”) posted a favorable advisory opinion concerning an existing co-management arrangement (“Arrangement”) between a large, rural,...more
2/8/2013
/ ACOs ,
CMP Law ,
Co-Management ,
Department of Labor (DOL) ,
Fees ,
Fixed-Fee ,
Hospitals ,
Medicare ,
OIG ,
Pay-for-Performance ,
Physicians