What's New

February 21, 2025

Massachusetts Generally Claimed Safety Net Care Pool Costs That Complied With Federal Requirements A-04-22-04091

February 20, 2025

Medicare Paid Claims That Were Not in Accordance With the Over-the- Counter COVID-19 Test Kits Demonstration Quantity Limitation A-06-23-06000

Mental Health Center of Florida Generally Met Medicare Billing Requirements for Some Psychotherapy Services A-04-21-06251

February 19, 2025

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Third Quarter of 2024 OEI-03-25-00020

Enforcement Actions

February 20, 2025; U.S. Department of Justice

Vice President of Health Care Software and Services Company Pleads Guilty to $1B Health Care Fraud Conspiracy

February 20, 2025; U.S. Attorney's Office, District of Massachusetts

Owner of Durable Medical Equipment Companies Charged in Nearly $30 Million Fraud Schem

February 20, 2025; U.S. Attorney's Office, Southern District of Florida

Law Enforcement Seizes Range Rover and Over $4 Million in Health Care Fraud Proceeds from Miami Couple Charged with Health Care Fraud and Money Laundering Conspiracies

What's Trending

1. AdventHealth Medical Group Agreed to Pay $807,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Not Performed
2. Submit a Hotline Complaint
3. Medicare Improperly Paid Suppliers for Intermittent Urinary Catheters
4. Hospital Reporting of Patient Harm Events per CMS and State Requirements
5. HHS-OIG's Efforts Result in $7.13 Billion in Expected Recoveries and Receivables, According to Fall 2024 Semiannual Report