What's New

May 16, 2024

Employee Profile: Deputy Regional Inspector General Meridith Seife: Creative Problem Solving to Make Meaningful, Positive Change in People's Lives

Updated: Corporate Integrity Agreements

May 15, 2024

Updated: Work Plan

Colorado Did Not Report and Refund the Correct Federal Share of Medicaid-Related Overpayments for Some Cases Identified by the State’s Program Integrity Section A-07-19-02816

May 14, 2024

New York Medical College Claimed Unallowable Grant Costs and Did Not Meet Certain Financial Conflict of Interest Requirements A-04-20-03583

Enforcement Actions

May 16, 2024; U.S. Department of Justice

Cape Cod Hospital to Pay $24.3 Million to Resolve False Claims Act Allegations Concerning Its Failure to Comply with Medicare Rules for Cardiac Procedures

May 16, 2024; U.S. Attorney's Office, Eastern District of Louisiana

Hospice Owner Sentenced to 240 Months Imprisonment and Ordered to Repay $42,000,000 for Defrauding Medicare

May 15, 2024; U.S. Attorney's Office, Southern District of New York

U.S. Attorney Announces $2.5 Million False Claims Act Settlement With Diagnostic Testing Facility For Paying Kickbacks To Physicians For Patient Referrals

What's Trending

1. HHS-OIG Impact: Medicare Advantage Prior Authorization
2. Joshua Thompson and Option 1 Genetics Agreed to Be Excluded for 15 Years for Allegedly Receiving Remuneration in Exchange for Genetic Tests Samples
3. Gastroenterology Associates of Southwest Florida Agreed to Pay $69,000 for Allegedly Violating the Civil Monetary Penalties Law by Employing an Excluded Individual
4. Medicaid Enrollees May Not Be Screened for Intimate Partner Violence Because of Challenges Reported by Primary Care Clinicians
5. Office of Inspector General’s Partnership With the State of Rhode Island, Office of the Auditor General: Medicaid Capitation Paid for Members Residing in Other States