This favorable OIG opinion relates to a proposed arrangement (“Arrangement”) regarding a one-time voluntary redemption offer to physician partners reaching age 67 to have their partnership units repurchased by the partnership...more
This favorable OIG opinion relates to Requestor who provides consulting services to physician practices and the Requestor’s proposed arrangement (“Proposed Arrangement”) to offer its current physician practice customers...more
OIG published its new General Compliance Program Guidance on November 6, 2023. OIG characterizes this as a reference guidance for the health care compliance community and other health care stakeholders. It is identified as...more
The New York State Office of the Medicaid Inspector General (“OMIG”) conducted three statewide sessions to outline its audit process as it pursues its mission to prevent and detect fraud, waste and abuse in the Medicaid...more
On August 3, 2022, the New York State Department of Health (“DOH”) published an MRT Listserv notice announcing the launch of the Health Care & Mental Hygiene Worker Bonus (HWB) Program and Submission Portal.
The Health...more
The following is a summary of the federal Health and Human Services agency’s Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported are based...more
7/8/2022
/ Anti-Kickback Statute ,
CARES Act ,
Centers for Disease Control and Prevention (CDC) ,
Compliance ,
Coronavirus/COVID-19 ,
Durable Medical Equipment ,
Enforcement ,
False Claims Act (FCA) ,
Fraud and Abuse ,
Healthcare ,
Kickbacks ,
Medicaid ,
Medicare ,
Medicare Advantage ,
OIG ,
Opioid ,
Popular ,
Risk Assessment ,
Skilled Nursing Facility ,
TRICARE
The following is a summary of the federal Health and Human Services agency’s Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported are based...more
6/24/2022
/ Anti-Kickback Statute ,
Compliance ,
Controlled Substances ,
Department of Health and Human Services (HHS) ,
Enforcement ,
False Claims Act (FCA) ,
False Statements ,
Federal Debt Collection ,
Fraud and Abuse ,
Genetic Testing ,
Healthcare ,
Healthcare Fraud ,
Mail Fraud ,
Medi-Cal ,
Medicaid ,
Medicare Fraud ,
OIG ,
Popular ,
Risk Assessment ,
TRICARE ,
Wire Fraud
On May 26, the New York State Department of Health (“DOH”) published the 2022 Value Based Payment (VBP) Reporting Requirements Technical Specifications Manual, available on the DOH website. Value Based Payment (VBP) refers to...more