What's New

January 17, 2025

Independent Attestation Review: Centers for Medicare & Medicaid Services Fiscal Year 2024 Detailed Accounting Submission and Fiscal Year 2026 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Required Assertion OAS-25-03-018

Independent Attestation Review: Health Resources and Services Administration Fiscal Year 2024 Detailed Accounting Submission and Fiscal Year 2026 Budget Formulation Compliance Report for National Drug Control Activities, and the Accompanying Required Assertion OAS-25-03-016

ASPR Established Adequate Controls for Maintaining Physical Security and Inventory Records at Stockpile Site C A-04-24-02047

January 16, 2025

Updated: CMP and Affirmative Exclusions

Updated: Fraud Self-Disclosures

Enforcement Actions

January 16, 2025; U.S. Attorney's Office, Southern District of Iowa

Two Iowa Healthcare Practitioners Settle Allegations for False Submission of Claims to Federal Healthcare Programs in Telemedicine Scheme

January 15, 2025; U.S. Department of Justice

Doctor Sentenced for $70M Medicare Fraud Scheme

January 14, 2025; U.S. Department of Justice

New Jersey Pharmacy Agrees to Resolve False Claims Act Allegations for Billing for Drugs Not Dispensed

January 13, 2025; U.S. Attorney's Office, Northern District of Florida

Army Veteran Sentenced to Federal Prison For Over Three-Quarter Million Dollar Benefit Fraud

What's Trending

1. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Triple-S Advantage, Inc., (Contract H5774) Submitted to CMS
2. Indiana Made at Least $56 Million in Improper Fee-for-Service Medicaid Payments for Applied Behavior Analysis Provided to Children Diagnosed With Autism
3. Work Plan: Recently Added
4. Health Care Fraud and Abuse Control Program Report (Fiscal Year 2023)
5. Audit of Medicare Part B Remote Patient Monitoring Services