Improving Health and Well-Being in American Indian and Alaska Native Communities Through Compliance

What's New

May 19, 2022

Employee Profile: Jessica Yun Kim

May 17, 2022

New AI/AN Training: Improving Health and Well-Being in American Indian and Alaska Native Communities Through Compliance

Washington State Did Not Comply With Federal and State Requirements for Claiming Enhanced Federal Reimbursement for Medicaid Managed-Care Health Home Service Expenditures A-09-20-02008

Comparison of Average Sales Prices and Average Manufacturer Prices: Results for the Fourth Quarter of 2021 OEI-03-22-00200

Enforcement Actions

May 19, 2022; U.S. Attorney's Office, Western District of Virginia

Owner of Drug Testing Lab Sentenced in Medicare Kickback Scheme

May 19, 2022; U.S. Attorney's Office, Southern District of Florida

Miami-Based VirtuOx, Inc. Agrees to Pay $3.15 Million to Resolve Allegations that it Fraudulently Billed Medicare

May 18, 2022; U.S. Department of Justice

Florida Pharmacy Owners Sentenced in Tennessee for Multimillion-Dollar Nationwide Telemedicine Pharmacy Fraud Scheme

What's Trending

1. Adverse Events in Hospitals: A Quarter of Medicare Patients Experienced Harm in October 2018
2. Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care
3. Fraud Alert: COVID-19 Scams
4. Fraud Alert: Genetic Testing Scam
5. Featured Topic: Telehealth