DoD Wants to Impose CMPs on Those Who Defraud TRICARE

Plagued by fraud and abuse targeting its TRICARE program, the U.S. Department of Defense, on May 1, issued a proposed rule that would allow it to impose civil monetary penalties (CMPs) against providers and suppliers who commit fraud and abuse against the TRICARE program. The new rule would create the “Military Health Care Fraud and […]

HHS Makes Changes to HIPAA Civil Monetary Penalty Caps

The U.S. Department of Health and Human Services (HHS) has issued a notification that it is changing the way it applies the assessment of Civil Money Penalties (CMPs) against those who violate the Health Insurance Portability and Accountability Act of 1996 (HIPAA), as amended by the Health Information Technology for Economic and Clinical Health (“HITECH”) […]

OIG: Complimentary In-Home Care Permitted, Despite Potential Anti-Kickback Violation

A recent advisory opinion issued by the U.S. Department of Health and Human Services Office of the Inspector General has given a medical center the go-ahead to provide free in-home care to reduce re-admissions, despite a prohibition against giving patients handouts that might influence care decisions. The OIG advisory opinion is in response to a […]

Blame it on Inflation: Civil Monetary Penalties Increase

The U.S. Department of Health and Human Services (HHS) has published an interim final rule that adjusts for inflation the maximum civil monetary penalties (CMP) that HHS agencies are authorized to assess or enforce. The changes became effective Sept. 6, and are applicable only to civil penalties assessed after Aug. 1, 2016, whose associated violations […]

Feds to increase exclusion and civil monetary penalty enforcement cases

When it comes to exclusion and civil monetary penalty cases, the federal government is preparing to take an even harder line than in the past. During the recent Health Care Compliance Association’s Healthcare Enforcement Compliance Institute, Gregory Demske, chief counsel at the Health and Human Services Office of Inspector General, told an audience his agency […]

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