What's New

January 10, 2025

LEIE Database Updated with December 2024 Exclusions and Reinstatements

Job Opening: FOIA General Attorney (Senior Counsel)

January 8, 2025

Updated: Corporate Integrity Agreements

January 3, 2025

Medicare Could Save Billions With Comparable Access for Enrollees if Critical Access Hospital Payments for Swing-Bed Services Were Similar to Those of the Fee-for-Service Prospective Payment System A-05-21-00018

Enforcement Actions

January 8, 2025; U.S. Attorney's Office, Southern District of West Virginia

Former Charleston Physician Sentenced to Prison for Federal Opioid Crime

January 8, 2025; U.S. Attorney's Office, Eastern District of Virginia

Chesapeake hospital indicted for healthcare fraud involving unnecessary surgical procedures

January 7, 2025; U.S. Department of Justice

Marketers and Healthcare Providers in Texas, Virginia and South Carolina Agree to Pay Over $1.1M to Settle Laboratory Kickback Allegations

What's Trending

1. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Triple-S Advantage, Inc., (Contract H5774) Submitted to CMS
2. Medicare Advantage Compliance Audit of Specific Diagnosis Codes Blue Care Network of Michigan (Contract H5883) Submitted to CMS
3. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That UCare Minnesota (Contract H2459) Submitted to CMS
4. Indiana Made at Least $56 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children Diagnosed With Autism
5. Health Care Fraud and Abuse Control Program Report (Fiscal Year 2023)