OIG Opinion: Providing Sample Ostomy Products Does not Violate Anti-Kickback Statute

An ostomy product distributor can give free samples to Medicare patients without worrying about violating the federal Anti-Kickback Statute, according to a recent advisory opinion from the Office of Inspector General for the U.S. Department of Health and Human Services. The Anti-Kickback Statute makes it a criminal offense to knowingly and willfully offer, pay, solicit […]

OIG WorkPlan Update for December Includes Six New Initiatives

The HHS Office of the Inspector General continues to update its Work Plan each month and ended the year in December with six new initiatives, two of which focus on the opioid epidemic and how to better monitor and prevent drug abuse. Status Update on States’ Efforts on Medicaid-Provider Enrollment OIG will determine just how […]

New vs. Established Patient Billing: Are You Doing It Properly?

It’s no secret that the Department of Health and Human Services Office of the Inspector General (HHS OIG) has been scrutinizing how Medicare pays providers for new and established patients. Such scrutiny has resulted in providers having to pay back millions for incorrectly billing for a new patient visit when the visit should have been […]

OIG’s Far-reaching 2017 Work Plan Designed to Root Out Fraud and Abuse

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently released its work plan for 2017 and its target list is ambitious. Each year, the agency releases a plan that summarizes new and existing reviews and areas where it will focus its attention for the coming year. It also shows […]

OIG report finds claims filed on behalf of the dead

With Halloween just around the corner the HHS’ Office of the Inspector General just released a report showing that during a two-year period The Centers for Medicare & Medicaid (CMS) paid out nearly half a million dollars for claims made on dead people. Federal law requires CMS to establish policies and implement claim edits to […]

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