TOP HEADLINES

CMS extends home health, ambulance moratoria for another six months

The Centers for Medicare & Medicaid Services announced that it will extend its temporary moratoria for new ambulance companies and home health agencies in certain geographical fraud hotspots across the country, according to the Federal Register.

Healthfirst data breach traced back to criminal fraud scheme

A data breach that compromised the personal information of approximately 5,300 Healthfirst members has been traced back to a criminal fraud scheme perpetrated against the insurer in 2013.

Feds target home health fraud schemes in Detroit

Home health agency owners in Detroit should be on high alert following the conviction and sentencing of three owners involved in fraud schemes worth $45 million.

Amid increased federal enforcement, compliance guidelines offer foundation for fraud prevention

Governing boards of both health providers and insurers play a crucial role in mitigating compliance risks within their organization, particularly when it comes to identifying and preventing fraud, waste and abuse, Michael Peregrine, a partner with McDermott Will & Emory, told Compliance Weekly in a recent podcast.

Retiring OIG agent: Gov't better at fraud detection, but Medicare still vulnerable

More comprehensive access to Medicare data, along with additional resources for prosecuting criminals, have contributed to the federal government's crackdown on healthcare fraud, but fraud schemes continue to target Part D fraud, Glenn Ferry, special agent in charge for the Department of Health and Human Services Inspector General for the Los Angeles regional office, told the Los Angeles Times.

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FierceHealthIT

The use of health information technology to enhance care coordination is part of a new initiative announced by the Centers for Medicare & Medicaid Services this week to improve access to substance use disorder treatment options.

FierceHealthIT

The Office of the National Coordinator for Health IT will award $38 million in grant funding to 20 entities to help boost the adoption of health information exchange technology, improve population health strategies and update training materials for use of health IT tools.