News & Analysis as of

Fraud Prevention Centers for Medicare & Medicaid Services (CMS)

Health Care Compliance Association (HCCA)

OIG Audit Report: CMS could use CERT data to identify high-risk home health agencies

Compliance Today (November 2019) - In September 2019, the US Department of Health and Human Services Office of Inspector General released the result of an audit report, “The Centers for Medicare & Medicaid Services Could...more

King & Spalding

Republican Lawmakers Voice Concern About Medicare Fraud Prevention

King & Spalding on

On September 12, 2016, Republican leaders of the House Ways and Means Committee, Energy and Commerce Committee, and Committee on Finance wrote a letter to the acting CMS administrator requesting information regarding CMS’s...more

Arnall Golden Gregory LLP

OIG’s Director of Medicaid Audits Testifies About Recommendation to Prevent Fraud in Personal Care Services

On September 11, 2015, the Office of Inspector General (OIG), Director of Medicaid Audits, John Hagg, testified before the House Committee on Energy and Commerce regarding areas in need of corrective action within the Centers...more

Mintz - ML Strategies

Health Care Update - July 2015 #2

Mintz - ML Strategies on

Congress Slowly Works on Budget Reconciliation; ACA Reform Proposals Still Up in the Air - The FY 2016 budget resolution, which was agreed to by Congress this past April, included broad reconciliation instructions...more

Polsinelli

CMS Report Underscores Importance for Providers to Know Their Data

Polsinelli on

On July 14, 2015, CMS issued a report regarding its implementation of the Fraud Prevention System, which uses predictive analytics to manage government fraud and False Claims Act investigations. According to this report, CMS...more

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