What's New

December 23, 2024

Total Medicare Part B Spending on Lab Tests Decreased in 2023, Driven in Part by Less Spending on COVID-19 Tests OEI-09-24-00350

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Triple-S Advantage, Inc., (Contract H5774) Submitted to CMS A-04-21-07095

Medicare Home Health Agency Provider Compliance Audit: Bridge Home Health A-05-23-00017

December 20, 2024

Some HHS Requirements for Vetting Mobile Apps Were Not Followed Prior to the Release of the AHRQ Question Builder App A-18-22-09008

Providers Used Medicare Part D Eligibility Verification Transactions for Permissible Purposes A-05-22-00022

Enforcement Actions

December 20, 2024; U.S. Department of Justice

Sixteen Cardiology Practices to Pay a Total of $17.7M to Resolve False Claims Act Allegations Concerning Inflated Medicare Reimbursements

December 20, 2024; U.S. Department of Justice

Rapid Health Agrees to Pay $8.2M for Allegedly Billing Medicare for Over-the-Counter COVID-19 Tests That Were Not Provided to Beneficiaries

December 20, 2024; U.S. Department of Justice

Medicare Advantage Provider Independent Health to Pay Up To $98M to Settle False Claims Act Suit

December 20, 2024; U.S. Attorney's Office, District of Massachusetts

Physician Resolves Allegations of Improper Prescribing Practices Involving Controlled Substances

What's Trending

1. Indiana Made at Least $56 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children Diagnosed With Autism
2. 2023 Operation Nightingale Enforcement Action
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5. Health Care Fraud and Abuse Control Program Report (Fiscal Year 2023)