What's New

October 27, 2020

Updated: Corporate Integrity Agreements

October 26, 2020

Updated: Work Plan

Massachusetts Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs A-06-18-04001

October 23, 2020

Medicare Home Health Agency Provider Compliance Audit: Gem City Home Care, LLC A-05-18-00011

October 16, 2020

Cedars-Sinai Medical Center: Audit of Medicare Payments for Bariatric Surgeries A-09-18-03010

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Enforcement Actions

October 23, 2020; U.S. Attorney's Office, Southern District of West Virginia

United States Attorney Mike Stuart Announces Healthcare Fraud Settlement for Over $1.2 Million

October 23, 2020; U.S. Attorney's Office, Southern District of New York

New York City Pharmacy Owner Sentenced To 2½ Years In Prison For Committing Multimillion-Dollar Health Care Fraud

October 23, 2020; U.S. Attorney's Office, District of Massachusetts

Six Individuals Charged with Federal Identity Fraud Crimes

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What's Trending

1. HHS OIG: Many Children Separated from Parents, Guardians Before Ms. L. v. Ice Court Order and Some Separations Continue
2. Cedars-Sinai Medical Center: Audit of Medicare Payments for Bariatric Surgeries
3. Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns
4. Incorrect Acute Stroke Diagnosis Codes Submitted by Traditional Medicare Providers Resulted in Millions of Dollars in Increased Payments to Medicare Advantage Organizations
5. Medicare Home Health Agency Provider Compliance Audit: Gem City Home Care, LLC