News & Analysis as of

Office of the Inspector General

K&L Gates Triage: Ride Sharing and Health Care Regulatory Considerations

by K&L Gates LLP on

Transportation is often cited as one of the top barriers to health care for individuals in the United States. To reduce this burden and increase access to care, many health care providers are now partnering with ride-sharing...more

Federal Telehealth Policies Summary

by Holland & Knight LLP on

On Feb. 9, 2018, Congress passed and President Donald Trump signed into law the Bipartisan Budget Act of 2018 (BBA). This wide-reaching legislation enacts major changes for telehealth policy in Medicare by incorporating...more

OIG Report: CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements

by Foley & Lardner LLP on

The Office of Inspector General (OIG) at the Department of Health & Human Services (HHS) just published a new report on OIG’s review of Medicare payments for telehealth services. The objective of the OIG review was to...more

Report Details Uneven Implementation of the New Drug Tracing Law

Last month, the Department of Health and Human Services’ Office of Inspector General (OIG) released its latest report on compliance with the Drug Supply Chain Security Act (DSCSA). As we discussed in a prior post, the DSCSA...more

Smokestack Emissions Testing and Reporting: U.S. Environmental Protection Agency Office of Inspector General April 10th Project...

The United States Environmental Protection Agency (“EPA”) Office of Inspector General (“OIG”) issued an April 10th Project Notification that it plans to: . . . begin preliminary research for an audit of the EPA’s oversight...more

OIG Releases Report Regarding Medicaid Fraud Control Units

by King & Spalding on

Last month, OIG released its Medicaid Fraud Control Units (MFCUs) report for Fiscal Year (FY) 2017. MFCUs investigate and prosecute Medicaid provider fraud and patient abuse and neglect and are jointly funded by the federal...more

Medicare Enrollment for Providers No Longer Required Under Medicare Parts C and D

by Foley & Lardner LLP on

On April 2, 2018, CMS released the Contract Year 2019 Final Rules for Medicare Advantage (MA) and Part D (the MA Final Rule), incorporating changes that support CMS’ stated commitment to supporting flexibility and efficiency...more

EPA’s OIG Investigates Enforcement of the Lead-Based Paint Renovation, Repair and Painting Rule

by Holland & Knight LLP on

On March 28, 2018, the Office of the Inspector General (OIG) of the U.S. Environmental Protection Agency (EPA) issued a Project Notification indicating its plans to begin preliminary research to evaluate the EPA’s...more

HUD OIG Issues Report on FHA Insured Loans Made to Delinquent Debtors

by Weiner Brodsky Kider PC on

On March 26, 2018, HUD’s Office of Inspector General released a report on FHA insured loans made to borrowers with delinquent federal debt or who were subject to federal administrative offset for delinquent child support...more

OIG Report Finds Many Outpatient Physical Therapy Services Did Not Comply With Medicare Requirements

by King & Spalding on

Physical therapy providers are the target of a recent HHS Office of Inspector General (OIG) report that identified millions of dollars in overpayments for improperly billed Medicare services. The OIG selected a stratified...more

Beltway Buzz - March, 2018 #5

It’s spring recess in D.C., and the Senate and House will be off for two weeks. While the recess means lighter traffic, it doesn’t mean that the labor and employment policy machine grinds to a halt....more

SAM, I AM: New Verification Requirement for SAM.gov Likely to Delay New Registrations

by PilieroMazza PLLC on

Registering with SAM.gov is a fact of life for government contractors. And, from what we often hear, a challenging fact at that. Indeed, it can be difficult to navigate the registration process, and it is time-consuming....more

OIG March 2018 Work Plan Update

by Baker Ober Health Law on

The OIG's March 2018 Work Plan update included seven items. Not surprisingly, the opioid crisis continues to be an area of focus for the OIG. The OIG also intends to review the oversight of vocational rehabilitation provided...more

Enforcement and Litigation Strategies: Skadden’s Eighth Annual Pharmaceutical, Biotechnology and Medical Device Seminar

On March 15, 2018, Skadden hosted its Eighth Annual Pharmaceutical, Biotechnology and Medical Device Seminar in Palo Alto, California, which focused on U.S. enforcement issues faced by companies throughout the industry. The...more

OIG Advisory Opinion 18-01: Excluded Individual May Serve as Marketing Liaison to LTC Pharmacies

by Baker Ober Health Law on

In OIG Advisory Opinion 18-01, published February 27, 2018, the OIG concluded a proposed employment arrangement between an excluded individual and a for-profit company selling discounted emergency medications to long term...more

OIG Evaluates Risks of Relying on Unverified Patient Lists in Home Health Surveys

by Reed Smith on

The Department of Health and Human Services, Office of Inspector General, has issued a new Risk Alert focusing on the home health agency (HHA) survey process. The alert specifically examined whether HHA-supplied patient...more

USCIS Green Card Processing Time Information Poor, Inspector General Reports, And USCIS Agrees

by Jackson Lewis P.C. on

Since 2011, government processing of green card applications has taken longer and longer. Concerns expressed by lawmakers, immigration advocates, and the public prompted Senator and Ranking Member of the Senate Committee on...more

Health Care Investigation Trends: Corporate Integrity Agreements No Longer a Given

2017 was slightly above average for new corporate integrity agreements (CIAs), with 46 entered into by the Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) and companies and individuals...more

What Health Care Providers Need To Know About Patient Rideshare

by Husch Blackwell LLP on

The debate over providing transportation to patients is nothing new. Hospitals, doctors and other providers have long struggled with whether they can provide free or discounted taxis, shuttles, metro cards or other...more

OIG Reports Reliance on HHA Patient Lists Creates Survey Vulnerabilities and Recommends CMS Action

by Arnall Golden Gregory LLP on

In March 2018, the Office of Inspector General (OIG) issued a Risk Alert, noting that some home health agencies (HHAs) provide Medicare surveyors with patient lists that are missing active Medicare beneficiaries at their...more

Increased Scrutiny of Patient Assistance Programs: Enforcement Overview and Considerations

by K&L Gates LLP on

In the midst of ongoing national debates regarding drug pricing [1] and access to innovative therapies, patient assistance programs (“PAPs”) are facing an evolving legal landscape, as well as increased enforcement scrutiny...more

OIG Finds USCIS Green Card Processing Time Information Unclear and Unrealistic

by Miles & Stockbridge P.C. on

The U.S. Department of Homeland Security’s Office of the Inspector General (OIG) released a report on March 9, 2018 entitled: “USCIS Has Unclear Website Information and Unrealistic Time Goals for Adjudication Green Card...more

Healthcare Fraud & Abuse Review 2017

by Bass, Berry & Sims PLC on

A LOOK BACK... A LOOK AHEAD - While the uncertainty associated with legislative efforts to repeal the Patient Protection and Affordable Care Act (PPACA) dominated most of the headlines for the healthcare industry last year,...more

Summary of Congressional Hearing: “The State of Aviation Safety” Part II

by LeClairRyan on

In Part I of this post, we summarized the statements of Subcommittee Chairman LoBiondo and FAA and NASA witnesses at the February 27 hearing on “The State of Aviation Safety” conducted by the Subcommittee on Aviation of the...more

OIG Audit Addresses Data Security Concerns at the CFPB

The independent auditor of the Office of Inspector General (OIG) of the Federal Reserve System reported on cybersecurity issues at the Consumer Financial Protection Bureau (CFPB), and the report does not quite fit the picture...more

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