May 30, 2018 | Medicare and Medicaid
Earlier this year, the Centers for Medicare and Medicaid Services (CMS) announced that it was forming an inter-agency group to review potential changes to the federal Stark (or physician self-referral) law. The Stark law generally prohibits a physician from referring...
Dec 27, 2017 | Medicare and Medicaid
On December 8, 2017, the Office of Inspector General of the U.S. Department of Health and Human Services (HHS-OIG) issued Advisory Opinion 17-08, in which it concluded that certain arrangements for nursing home discounts do not violate the federal Anti-Kickback...
Oct 26, 2017 | Health Care, Medicare and Medicaid
The U.S. Department of Health & Human Services Office of Inspector General (“OIG”) recently published a report entitled “Enhancements Needed in the Tracking and Collection of Medicare Overpayments Identified by ZPICs and PSCs.” Zone Program Integrity Contractors...
Jul 18, 2017 | Health Care, Medicare and Medicaid
On June 27, 2017, the U.S. Department of Health and Human Services Office of Inspector General (“OIG”) issued Advisory Opinion 17-02 (“AO 17-12”) concerning an unnamed hospital’s proposal to waive or reduce certain cost-sharing fees owed by Medicare beneficiaries who...
Mar 13, 2017 | Medicare and Medicaid
On March 6, 2017, the U.S. Department of Health and Human Services’ Office of Inspector General (“OIG”) published data regarding the enforcement activities of Medicaid Fraud Control Units (“MFCUs”) across the country during fiscal year 2016. Forty-nine states (all but...
Dec 12, 2016 | Medicare and Medicaid
On December 5, 2016, Judge James Roasberg of the United States District Court for the District of Columbia issued a decision ordering the U.S. Department of Health and Human Services (HHS) to eliminate its massive backlog of Medicare billing appeals within the next...
