LEIE Updated with September 2021 Exclusions

What's New

October 7, 2021

LEIE Database Updated with September 2021 Exclusions and Reinstatements

Updated: Corporate Integrity Agreements

October 6, 2021

Updated: CMP and Affirmative Exclusions and Provider Self Disclosures

October 5, 2021

Medicare Overpaid $636 Million for Neurostimulator Implantation Surgeries A-01-18-00500

Enforcement Actions

October 5, 2021; U.S. Attorney's Office, Central District of California

Pharmacist Sentenced to Nearly 6 Years in Prison for Multimillion-Dollar Compounded Medicine Scam that Defrauded Health Care Plans

October 5, 2021; U.S. Attorney's Office, Western District of North Carolina

Ophthalmologist Pleads Guilty To Using Misbranded Medication

October 5, 2021; U.S. Attorney's Office, Western District of Pennsylvania

Kentucky Psychiatrist Pleads Guilty to Health Care Fraud Related to Referrals for Drug Testing at Greensburg, PA Lab

What's Trending

1. Some Medicare Advantage Companies Leveraged Chart Reviews and Health Risk Assessments To Disproportionately Drive Payments
2. Six of Eight Home Health Agency Providers Had Infection Control Policies and Procedures That Complied With CMS Requirements and Followed CMS COVID-19 Guidance To Safeguard Medicare Beneficiaries, Caregivers, and Staff During the COVID-19 Pandemic
3. Case Study: Missouri's Efforts To Protect Children Missing From Foster Care
4. A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse
5. COVID-19 Fraud Alert