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CMS Proposes Changes Designed to Speed up Medicare Appeals Process

It’s been a while since we last updated you on the latest about the Medicare appeals backlog, which although it ...
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Healthcare exec pleads guilty to multimillion-dollar opioid scheme

A Michigan healthcare CEOrecently pleaded guilty to taking part in a $300 million healthcare fraud scheme that, in the words ...
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OIG Unveils Fraud Risk Indicator

The Health and Human Services Office of Inspector General has launched a new initiative designed to draw attention to those ...
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Tis the Season: Gifts to Medicare Patients Nice Gesture or a Crime?

As we approach the holidays, now may be an appropriate time to point out the rules relating to gifts that ...
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Obstructing Medicare Audit Can Get You Jail Time

A 73-year-old Port Charlotte, Florida endocrinologist was recently sentenced to five months in prison, to be followed by three years ...
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How an Innocent Social Media Post Can Turn Into a HIPAA Violation

A Texas nurse recently learned that you don’t have to identify a patient by name to violate Health Insurance Portability ...
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Opioid Crackdown Nets South Florida Doctor as Efforts Intensify

A South Florida doctor is the latest to be sentenced for his role in the illegal distribution of opioids. Earlier ...
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OIG Wants Input on Changes to Anti-kickback Statute and CMP

The U.S. Department of Health and Human Services Office of the Inspector General is looking for ways to encourage and ...
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OIG Takes Notice as Compound Drug Use Skyrockets

The cost of compounded topical drugs to the country’s Medicare program has skyrocketed over the past several years, and that’s ...
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A red sign with an ambulance and a woman in front of it.

CMS to Ease HHA, Ambulance Enrollment Restrictions

The Centers for Medicare & Medicaid Services (CMS) will ease restrictions it imposed on the enrollment of new home health ...
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