Background In 2013, the OIG issued an updated revised bulletin regarding the effect of exclusion from participation in federal programs. As part of that bulletin, the OIG addressed a number of somewhat gray areas incl...

At the March 29, 2022 Health Care Compliance Association (HCCA) conference, Christi A. Grimm, HHS-OIG Inspector General, presented an update on key agency initiatives and priorities that directly impact health care and c...

Even though COVID-19 seems to be receding in the minds of many, it continues to be the source of significant law enforcement actions at the federal level. COVID-related criminal investigations and prosecutions, from a fr...

Background The function of state Medicaid Fraud Control Units (MFCUs) is to investigate and prosecute Medicaid provider fraud and patient abuse/neglect. The Social Security Act requires each state to operate a MFCU. M...

Telehealth had been a small part of healthcare for many years, but the declaration of a Public Health Emergency (PHE) in 2020 accelerated both its use and scope when in-person healthcare services were simply not availabl...

The Texas Unified Licensure Information Portal (TULIP) is state’s web-based licensure system for the Health and Humans Services Commission (HHSC). TULIP was designed for licensed long-term care facilities and agencies,...

Recently, multiple organizations have urged President Biden and the Department of Health and Human Services (HHS) to again extend the Public Health Emergency (PHE) designation and the emergency declarations currently in ...

Health plans considering Medicare Advantage or Medicaid as a new line of business need to be well informed of the greatly enhanced oversight and requirements they will face compared to state regulation of commercial plan...

As one of the two primary exclusion screening lists against which federal contractors are required to check routinely, the health care industry relies on the accuracy of SAM.gov database to make hiring and retention deci...