The Patient Protection and Affordable Care Act of 2010 (the ACA) brought health care to millions of uninsured Americans. However, in addition to the creation of health coverage options, this expansive act als...
The OIG Considers Discontinuing Publication of LEIE Monthly Supplements
February 14, 2022
The HHS Office of the Inspector General has just issued a notice that the OIG is considering whether to discontinue its publication of monthly supplements to the LEIE. They are soliciting public input about the impact of...
STARK & ANTI-KICKBACK’S REBOOT TO THE 21ST CENTURY
February 7, 2022
On January 19, 2021, sweeping new regulations related to both the CMS Physician Self-Referral Law (Stark) and OIG’s Anti-Kickback Statute (AKS) went into effect, notwithstanding technical issuance deficiencies. R...
HCCA’s 26th Annual Compliance Institute
January 26, 2022
The Compliance Institute (CI), a flagship event held by Health Care Compliance Association® (HCCA), has been supporting practitioners with educational and networking opportunities for two and a half decades. This confer...
Highlights from the OIG’s Fall 2021 Semi-Annual Report to Congress
January 14, 2022
On December 2, 2021, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) issued its Semiannual Report to Congress for fiscal year 2021 (Report). The Report describes OIG’s work id...
Apache Log4j Vulnerability – What You Need to Know
December 21, 2021
Background On December 9, 2021, security researchers discovered a flaw (also referred to as a vulnerability) in the code of a software library used for logging security and performance information. The Apache software...
The Role of Delegated Entities in Exclusion Screening
December 14, 2021
Under federal law, Medicare Advantage plans and Part D plan sponsors may delegate administrative or healthcare service functions to third parties, such as a medical group, pharmacy benefit manager, claims administration ...
OIG’s 2021 Top Management & Performance Challenges Facing DHHS
December 9, 2021
Introduction The 2021 Top Management and Performance Challenges Facing HHS is an annual publication of the Department of Health and Human Services (DHHS) Office of Inspector General (OIG). The OIG has identified six t...
The Continuing Rise in Drug Compounding Fraud
November 30, 2021
When most people think about pharmaceutical fraud, they may envision pharmacy staff shorting a prescription to pocket a few pills and then overcharging the patient, or taking pharmacy inventory to sell on a shady interne...
