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OIG adds 21 new investigative focus areas

The Office of Inspector General at the U.S. Department of Health and Human Services recently released the midyear update  of ...
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CMS unveils proposed rules for Medicaid managed care plans

On May 26, The Centers for Medicare & Medicaid Services (CMS) released its long-awaited proposed rule, updating its Medicaid managed ...
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OIG cracks down on place-of-service overpayments

Is your practice using proper place-of-service codes? If not, you’re not alone. According to a new report from the HHS ...
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OIG guidance for healthcare governing boards focuses on responsibility

You have probably heard the saying “The buck stops here.” Popularized by President Harry S. Truman, the phrase still holds ...
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ICD-10 implementation clock ticking

With the deadline for implementation of ICD-10 just five months away, a lot is being written about whether medical practices ...
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Home healthcare agencies, aides top fraud list

Home healthcare agencies and home healthcare aides topped the list of providers with the largest number of healthcare fraud convictions ...
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Updating HIPAA compliance in an age of data breaches

Recent data breaches at some of the country’s major healthcare organizations have prompted the Office of the National Coordinator for ...
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What happens if you become the target of a healthcare fraud investigation?

No healthcare provider wants to become the target of a healthcare fraud investigation. But, as we have seen, it happens ...
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Whistleblower lawsuits: How to avoid becoming a target

Earlier this month, three former managers of AIDS Healthcare Foundation Inc. (AHF) filed federal and state Whistleblower Act claims against ...
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Feds use data analytics to detect and investigate Medicare fraud

There have been countless stories in the news about how the federal government has gone about combating Medicare fraud. Still, ...
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