News & Analysis as of May 30, 2025

Healthcare

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Fraud is the making of false representations or engaging in deceptive behavior in order to unlawfully secure financial or personal gain.

NYS OMIG Publishes 2025 Work Plan

Rivkin Radler LLP on 2/14/2025

On January 29, the New York State Office of the Medicaid Inspector General (OMIG) published its 2025 Work Plan, which provides a preview of the OMIG’s program integrity initiatives for the upcoming year. While this post...more

In This Month’s E-News: December 2023

Health Care Compliance Association (HCCA) on 11/27/2023

Report on Research Compliance 20, no. 12 (December 2023) Although the National Science Foundation (NSF) allowed more than half the costs questioned by auditors for its Office of Inspector General (OIG), the California...more

OIG Releases Report on EHR Fraud Controls

King & Spalding on 12/18/2013

On December 11, 2013, the HHS Office of Inspector General (OIG) released a report examining provider use of certain fraud controls in certified electronic health record (EHR) technology. OIG’s survey of 864 hospitals found...more

CMS Focuses on Fraud Associated with Increased Use of Electronic Health Records

Mintz - Health Care Viewpoints on 3/22/2013

Acting CMS Administrator, Marilyn Tavenner, recently reaffirmed the agency’s concern that the increased use of electronic health records (“EHRs”) has contributed to increases in fraudulent billing practices by providers. At a...more

Protecting Your Hospital From Over-Utilization Prosecutions

The Volkov Law Group on 2/22/2013

The government has been increasing its focus on healthcare fraud involving “quality” of care. This is an extremely difficult issue, especially for prosecutors. It is very difficult to define “quality” standards and then...more

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