What's New

November 28, 2023

Multiple States Made Medicaid Capitation Payments to Managed Care Organizations After Enrollees' Deaths A-04-21-09005

Early Alert: Part B Payment Amount for Tezspire Included a Noncovered Self-Administered Version in 2023 OEI-BL-24-00030

November 27, 2023

The Risk of Misuse and Diversion of Buprenorphine for Opioid Use Disorder in Medicare Part D Continues to Appear Low: 2022 OEI-02-24-00130

Enforcement Actions

November 28, 2023; U.S. Attorney's Office, District of Montana

Former Blackfeet Tribal operations manager suspected of stealing tribal COVID-19 relief funding arraigned on charges

November 27, 2023; U.S. Attorney's Office, District of Massachusetts

Telemedicine Nurse Practitioner Pleads Guilty to $7.8 Million Durable Medical Equipment Fraud Scheme

November 17, 2023; U.S. Department of Justice

Pharmacy Owners and Doctor Convicted for $145M Health Care Fraud, Money Laundering, and Tax Evasion Scheme

What's Trending

1. Consumer Alert: Remote Patient Monitoring
2. CDC's Internal Control Weaknesses Led to Its Initial COVID-19 Test Kit Failure, but CDC Ultimately Created a Working Test Kit
3. General Compliance Program Guidance
4. Fraud Alert: Scammers Steal Money From the Public Through Fake HHS Websites and Social Media Schemes
5. ProHEALTH Care Associates, ProHEALTH Care Medical Management, and Dr. Rina Caprarella Agreed to Pay $229,000 for Allegedly Violating the Civil Monetary Penalties Law...