News & Analysis as of

Fraud Abuse and Waste

Health Care Compliance Association (HCCA)

[Virtual Event] Compliance & Post-Acute Care Conference - December 2nd, 8:00 am - 5:00 pm CT

New for 2025! Navigate compliance in post-acute care settings with the latest information - Join us for Compliance & Post-Acute Care, a new virtual conference tailored to the unique needs of compliance professionals...more

McDermott+

Trump Administration Executive Order Tracker - October 2025

McDermott+ on

Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more

StoneTurn

Government Shutdowns and Federal Construction Contracts: A Breeding Ground for Fraud and Compliance Risks

StoneTurn on

Government shutdowns are often viewed through the lens of political gridlock and economic disruption. But for those overseeing federally funded projects and federal contractors—especially those in construction—the real risks...more

Fox Rothschild LLP

The 2025 White-Collar Symposium: Key Takeaways on the IRS, Trump Administration Enforcement Priorities and the False Claims Act

Fox Rothschild LLP on

Leading issues in white-collar criminal defense, government investigations and regulatory compliance were at the center of discussion at our 2025 White-Collar Symposium. Here are some of the key insights attendees took away...more

Health Care Compliance Association (HCCA)

[Virtual Event] Behavioral Health Compliance Conference - October 21st, 8:00 am - 5:00 pm CT

A dedicated program just for behavioral health compliance professionals - Don’t miss this unique opportunity to learn the latest strategies and best practices for meeting the unique challenges of compliance in a...more

Benesch

HHS OIG Flags Explosive Part B Spending on Skin Substitutes Signaling Heightened Fraud, Waste, and Abuse Risk and Imminent Payment...

Benesch on

On September 5, 2025, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Office of Evaluation and Inspections (OEI) released a Data Snapshot (OEI-BL-24-00420) finding that Medicare Part B...more

McDermott Will & Schulte

OIG continues focus on RPM services in new data-driven report

On August 25, 2025, the US Department of Health and Human Services Office of Inspector General (OIG) issued a report analyzing Medicare billing for remote patient monitoring (RPM) services. With nearly one million Medicare...more

McDermott+

Trump Administration Executive Order Tracker - updated 8.18.25

McDermott+ on

Below is a tracker of healthcare-related executive orders (EOs) issued by the Trump administration, including overviews of each EO and the date each EO was signed. We will regularly update this tracker as additional EOs are...more

Cozen O'Connor

Cozen Currents: GOP and Democrats Are Both in Your Debt (Literally)

Cozen O'Connor on

The Cozen Lens - • The federal debt has grown dramatically in recent years, with both parties pursuing significant deficit spending, the impacts of which will likely not be fully clear for several years. • President Donald...more

Stevens & Lee

New Changes to Medicare and Private Prior Authorization Processes

Stevens & Lee on

Both the Centers for Medicare & Medicaid Services (CMS) and dozens of the nation’s largest insurance companies have revealed upcoming changes to their prior authorization processes. These changes aim to reduce the prevalence...more

Parker Poe Adams & Bernstein LLP

Small Business Administration Fraud Audit Affects Prime Contractors and Subcontractors of 8(a) Program

Small Business Administration head Kelly Loeffler has announced a “full-scale” audit of its 8(a) program for socially and economically disadvantaged small business owners, directing the agency’s Office of Government...more

Troutman Pepper Locke

Mass. AG Emerges as Key Player in Consumer Protection

Troutman Pepper Locke on

Massachusetts Attorney General Andrea Campbell has emerged as a significant figure in the landscape of consumer protection and corporate accountability. Her actions and initiatives have positioned her as a thought leader...more

Polsinelli

Five Things Every Health Care Provider Should Know About HHS OIG’s 2025 Semiannual Report

Polsinelli on

On June 2, 2025, the Department of Health and Human Services (HHS), Office of Inspector General (OIG) published its Semiannual Report to Congress. This report covers the period from October 1, 2024, through March 31, 2025,...more

McDermott+

A Deep Dive Into the CMS Program Management FY 2026 Budget Request

McDermott+ on

As discussed in last week’s Regs & Eggs blog post, the US Department of Health and Human Services (HHS) recently released additional budget documents to support the department’s fiscal year (FY) 2026 discretionary request....more

WilmerHale

HHS Office of Inspector General Issues First Semiannual Report to Congress in this Administration

WilmerHale on

On June 2, 2025, the Department of Health and Human Services Office of Inspector General (HHS-OIG) announced the release of its Spring 2025 Semiannual Report to Congress. Covering the period from October 1, 2024, to March 31,...more

Paul Hastings LLP

Criminal Division White Collar Enforcement Plan: Turning the Page, Not Writing a New Book

Paul Hastings LLP on

On May 12, the Head of the U.S. Department of Justice (DOJ) Criminal Division, Matthew Galeotti, delivered remarks at the Securities Industry and Financial Markets Association’s Anti-Money Laundering and Financial Crimes...more

Goodwin

The Impact of Trump’s Executive Order on Eliminating Information Silos

Goodwin on

Hello, everyone. My name is Allan Medina. I am a partner in Goodwin’s Washington, DC, office, with a practice focus on government investigations. I’m here with Liza Craig, who is also a partner in the DC office. We are...more

Cozen O'Connor

Cozen Currents: Trump's Full Court Press

Cozen O'Connor on

“Despite the myriad factions among congressional Republicans, President Donald Trump has for the most part imposed his will on GOP lawmakers. He is now shifting his focus to the independent judiciary.” — Howard Schweitzer,...more

Fox Rothschild LLP

The EPA’s New Funding Hurdles: What to Expect

Fox Rothschild LLP on

A recent shift in EPA funding approvals has raised questions about potential delays in environmental projects, disaster response and clean energy initiatives. According to an AP report, all EPA division directors and deputy...more

McCarter & English Blog: Government Contracts...

A Contractor’s Guide to Successfully Navigating Non-Payment, Suspensions/Stop-Work Orders, Terminations for Convenience,...

Well, it is certainly an interesting time to be a federal government contractor. In the last few weeks, we have seen Executive Orders (EOs) flying fast and furious, and a lot of other activity impacting federal government...more

Cozen O'Connor

Enter DOGE: Trump Executive Order Formalizes DOGE and Directs Agencies on Next Cost Cutting Steps

Cozen O'Connor on

While it is not our intent to flood your inbox with articles, alerts, and analyses; the pace, breadth, and volume of actions by the Trump administration in its first month (not even 100 days) is nothing short of remarkable....more

Axinn, Veltrop & Harkrider LLP

Conspiracy Theories Newsletter, 2025 Edition: Predictions for Cartel Enforcement Under Trump 2.0

In many ways, criminal antitrust enforcement during President Trump’s first term illustrates what to expect under Trump 2.0. Among other highlights, the Delrahim DOJ obtained indictments and pleas involving public procurement...more

K2 Integrity

Ensuring Integrity In Disaster Recovery: Lessons From NYC Rapid Repairs

K2 Integrity on

In the wake of the devastating LA wildfires, the importance of stringent controls and oversight in disaster recovery efforts cannot be overstated. As we mobilize to rebuild and restore, it is crucial to learn from past...more

Health Care Compliance Association (HCCA)

[Event] Research Compliance Conference - June 2nd - 4th, Orlando, FL

Get the latest insights in research compliance - The risks and challenges that come with clinical research are unique, as are the abundance of government regulations and enforcers that oversee them. HCCA’s Research...more

Pillsbury Winthrop Shaw Pittman LLP

New Congress, More Scrutiny? Preparing for Congressional Oversight and Investigations

With unified Republican control and President-elect Trump in the White House, the new 119th Congress is certain to launch a wave of oversight activities. Organizations should prepare now for a high-stakes and unpredictable...more

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