Call it the enforcement "flavor of the month," but laboratories have been feeling the heat from federal investigators recently, particularly those interested in their relationship with physician practices, which may run afoul of the anti-kickback statute.
A recent CMS announcment revealed an impressive 10 to 1 retrun on investment in the agency's relatively new Fraud Prevention System. But these figures may be smaller than they appear. A concurrent OIG assessment found that the true value was closer to 3 to 1. Read more...
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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.
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.
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.
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.
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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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.
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.