Jan 13, 2026 | Fraud Investigations, Health Care, Health Care Fraud, Medicare and Medicaid
As we have written about several times previously, billing Medicare for skin substitutes used in wound care has come under significant scrutiny by various federal agencies, including the Department of Justice, HHS’ Office of Inspector General (OIG), and CMS and...
Jan 6, 2026 | Health Care, Medicare and Medicaid
The Centers for Medicare & Medicaid Services (“CMS”) just implemented significant changes to the way Medicare reimburses providers for skin substitutes. The changes were triggered in part by a September 2025 report by the Department of Health & Human Services’...
Sep 9, 2025 | Health Care, Health Care Fraud, Medicare and Medicaid
On September 8, 2025, the U.S. Department of Health & Human Services’ Office of Inspector General (HHS-OIG) issued a report expressing “major” fraud, waste, and abuse concerns related to skin substitutes billed to Medicare Part B. According to...
Jul 2, 2025 | Commercial Payor Audits, federal investigations, Health Care, Health Care Fraud, Medicare and Medicaid
The attorneys at Chilivis Grubman represent a wide variety of healthcare providers and suppliers in connection with Medicare audits and overpayment appeals. Clients often ask us how long a CMS contractor has to reopen a claim for purposes of conducting a post-payment...
