The Health Law Offices of Anthony C. Vitale

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Report: HHS OIG fraud recoveries on the rise

The Department of Health and Human Services Office of the Inspector General recently released its semi-annual Report to Congress outlining ...
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CMS looks to formalize six-year lookback period for Medicare self-referral disclosures

The Centers for Medicare and Medicaid recently published a notice proposing revisions to its self-referral disclosure protocol (SRDP). The SRDP ...
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Audit: HHS fails to accurately report and prevent improper payments

A recent audit of the Department of Health and Human Services (HHS) to determine if the agency is in compliance ...
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HIPAA Compliance Crackdown Requires Increased Vigilance

Last month, the U.S. Department of Health and Human Services Office for Civil Rights (OCR) announced two big settlements involving ...
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CMS unveils new Medicare payment proposal

On April 27, The Centers for Medicare and Medicaid (CMS) released, for public comment, proposed changes to how Medicare will ...
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SCOTUS Hears Arguments on Implied Certification Theory

Last month, the United States Supreme Court took up the issue of whether False Claims Act (FCA) cases may be ...
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States’ failure to implement NCCI edits cost Medicaid program billions annually

Improper payments to healthcare providers cost the Medicaid program approximately $17.5 billion in fiscal year 2014, according to a new ...
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CMS announces new payment model for primary care physicians

The Centers for Medicare and Medicaid Services (CMS) last week announced a new risk-based primary care initiative designed to “transform ...
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Healthcare Fraud and Abuse Crackdown Not Slowing as Evidenced by Recent Cases

The federal government has been busy since the beginning of the year announcing arrests, convictions and settlements relating to healthcare ...
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CMS proposes new payment model for Medicare Part B

The Centers for Medicare and Medicaid (CMS) is proposing a new rule that could result in a new Medicare Part ...
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