The following is a summary of selected federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported...more
1/12/2024
/ Anti-Kickback Statute ,
Compensation ,
Compliance ,
Department of Health and Human Services (HHS) ,
Enforcement ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Healthcare Fraud ,
Kickbacks ,
Medical Devices ,
Medicare Fraud ,
Nursing Homes ,
OIG ,
Popular ,
Risk Assessment ,
Stark Law ,
TRICARE
On January 3, 2024, the New York State Office of the Medicaid Inspector General (“OMIG”) posted its 2024 Work Plan. This is the first update since its 2019 – 2020 Work Plan and OMIG notes that the Work Plan does not reflect...more
1/10/2024
/ Auditors ,
Audits ,
Compliance ,
Durable Medical Equipment ,
Home Health Care ,
Investigations ,
Long-Term Care ,
MCOs ,
Medicaid ,
Mental Health ,
New York ,
OMIG ,
Pharmacies ,
Self-Disclosure Requirements
The following is a summary of selected federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported...more
12/8/2023
/ Anti-Kickback Statute ,
Compliance ,
Criminal Convictions ,
Department of Health and Human Services (HHS) ,
False Billing ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
Medicaid ,
Medicare ,
OIG ,
Pharmaceutical Industry ,
Pharmacies
OIG published its new General Compliance Program Guidance on November 6, 2023. OIG characterizes this as a reference guidance for the health care compliance community and other health care stakeholders. It is identified as...more
The following is a summary of selected federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported...more
11/8/2023
/ Bribery ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Criminal Convictions ,
Damages ,
Department of Health and Human Services (HHS) ,
Department of Veterans Affairs ,
EMTALA ,
Enforcement Actions ,
False Claims Act (FCA) ,
Food and Drug Administration (FDA) ,
Fraud and Abuse ,
Kickbacks ,
Medicare Fraud ,
OIG ,
Penalties ,
Popular ,
Risk Management ,
Settlement ,
TRICARE
On September 21, 2023, the New York State Office of the Medicaid Inspector General (“OMIG”) posted on its website Compliance Program Requirements Frequently Asked Questions. OMIG intends the FAQs to supplement its Compliance...more
The following is a summary of selected federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported...more
9/8/2023
/ CARES Act ,
Compliance ,
Coronavirus/COVID-19 ,
Corporate Integrity Agreement ,
Deferred Prosecution Agreements ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Economic Injury Disaster Loans ,
Enforcement ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Healthcare Fraud ,
Kickbacks ,
Medicare ,
Medicare Advantage ,
Medicare Fraud ,
OIG ,
Paycheck Protection Program (PPP) ,
Popular ,
Risk Assessment
On August 21, 2023, the New York State Office of the Medicaid Inspector General (“OMIG”) updated its Medicaid Self-Disclosure Program Requirements. The updated Instructions and Guidelines announce a new “Abbreviated”...more
Harris Beach invites you to register for its 7 Element compliance program series addressing New York’s 2020 and 2022 updates to Medicaid Compliance Program requirements. Starting on August 16th, each live program will be no...more
8/10/2023
/ Anti-Kickback Statute ,
Compliance ,
Department of Health and Human Services (HHS) ,
Enforcement ,
Enforcement Actions ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
Medicare Fraud ,
Money Laundering ,
OIG ,
Opioid ,
Risk Management ,
Telemedicine
The New York State Office of the Medicaid Inspector General (“OMIG”) recently posted on its website a Compliance Program Self-Assessment Form that OMIG developed as a resource for providers to help them assess their...more
The Department of Health and Human Services’ Office of Inspector General (“OIG”) willmodernize its Compliance Program Guidance (“CPG”) beginning at the end of calendar year 2023. The updates will be posted on the OIG website...more
On March 8, 2023, the New York State Office of the Medicaid Inspector General (“OMIG”) posted on its website a Compliance Program Review Module and a webinar that outlines the Compliance Program requirements for 2023 based...more
On December 28, 2022, New York State Register published a summary of the New York State Office of the Medicaid Inspector General’s (“OMIG”) Notice of Adoption for Rulemaking on Medicaid Program Fraud, Waste and Abuse...more
The following is a summary of the federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported are...more
8/9/2022
/ Bribery ,
Civil Monetary Penalty ,
Compliance ,
Department of Justice (DOJ) ,
Enforcement ,
False Claims Act (FCA) ,
Fraud ,
Kickbacks ,
Medicaid ,
OIG ,
Prior Authorization ,
Risk Assessment ,
Risk Management ,
Skilled Nursing Facility
The July 13, 2022 New York State Register published a summary of the New York State Office of the Medicaid Inspector General’s (“OMIG”) Proposed Rulemaking on Medicaid Program Fraud, Waste and Abuse Prevention. As Proposed...more
The following is a summary of the federal Health and Human Services agency’s Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported are based...more
7/8/2022
/ Anti-Kickback Statute ,
CARES Act ,
Centers for Disease Control and Prevention (CDC) ,
Compliance ,
Coronavirus/COVID-19 ,
Durable Medical Equipment ,
Enforcement ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Healthcare ,
Kickbacks ,
Medicaid ,
Medicare ,
Medicare Advantage ,
OIG ,
Opioid ,
Popular ,
Risk Assessment ,
Skilled Nursing Facility ,
TRICARE
The following is a summary of the federal Health and Human Services agency’s Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported are based...more
6/24/2022
/ Anti-Kickback Statute ,
Compliance ,
Controlled Substances ,
Department of Health and Human Services (HHS) ,
Enforcement ,
False Claims Act (FCA) ,
False Statements ,
Federal Debt Collection ,
Fraud and Abuse ,
Genetic Testing ,
Healthcare ,
Healthcare Fraud ,
Mail Fraud ,
Medi-Cal ,
Medicaid ,
Medicare Fraud ,
OIG ,
Popular ,
Risk Assessment ,
TRICARE ,
Wire Fraud