What's New

March 29, 2024

New Jersey Complied With Federal Regulations When Implementing Programs Under SAMHSA’s Opioid Response Grants, But Did Not Meet Its Program Services Goals A-02-22-02002

March 28, 2024

CMS Did Not Ensure That Selected States Complied With Medicaid Managed Care Mental Health and Substance Use Disorder Parity Requirements A-02-22-01016

March 27, 2024

The Thailand Ministry of Public Health Managed PEPFAR Funds According to Federal Regulations but Internal Controls Could Be Improved A-04-21-01021

Enforcement Actions

March 28, 2024; U.S. Attorney's Office, Southern District of New York

U.S. Attorney Announces $3.1 Million False Claims Act Settlement With Radiology Company And Its CEO For Fraudulent Billing Practices

March 28, 2024; U.S. Attorney's Office, District of New Jersey

Florida Man Admits Role in $4.6 Million Kickback Scheme Related to Genetic Testing

March 27, 2024; U.S. Department of Justice

Man Sentenced for $87M Healthcare Fraud Kickback Conspiracy

What's Trending

1. Medicare Inpatient Hospital Billing for Sepsis
2. HHS-OIG Impact: Medicare Advantage Prior Authorization
3. Work Plan Updates
4. Two Tribes in Oklahoma and Their Health Programs Did Not Meet All Federal and Tribal Requirements for Background Investigations on Individuals in Contact With Indian Children
5. Assessing the Accuracy of Nursing Home Falls Reporting in MDS Assessments