Blog

Data Analytics and Collaboration Drive Continued Success for Texas HHS-OIG

November 22, 2022

The 2022 Quarter Four Fiscal Report of the Texas Health and Human Services OIG was issued in September 2022 with highlights from another very successful year. The report reflects the continued focus of the OIG on enhance...

Deficit Reduction Act Compliance: Certification Requirements for New Jersey Providers & MCOs

November 9, 2022

Background on the DRA The federal Deficit Reduction Act of 2005 (DRA) included new requirements related to fraud, waste and abuse for Medicaid plans that received or made payments of $5 million dollars or more in any ...

Fun and Smart Ways to Celebrate Compliance & Ethics Week

October 3, 2022

Adhering to compliance standards protects all consumers of healthcare services and ultimately enables the delivery of the highest levels of healthcare across the country. An annual Compliance Week provides a great opport...

The OIG Opines regarding Loaned Smartphones for Low Income Patient Access to Care

August 4, 2022

During the PHE, access to care was limited and social isolation was real. To increase access, the Centers for Medicare & Medicaid Services (“CMS”) through blanket waivers and state  Medicaid programs tempora...

DOJ False Claims Highlights in 2021 and What to Expect Ahead

July 8, 2022

Over the past 5 years, there has been a decreased in false claims recoveries by the DOJ. That trend was resoundingly reversed in fiscal year 2021. In a press announcement on February 1, 2022, the DOJ released the foll...

Updates on Data Modernization Efforts by the OIG 

June 24, 2022

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...

Interested in Telehealth? So is the OIG!

May 18, 2022

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...

Considering Medicare Advantage as Your Next Product Line? Things to Know…

April 5, 2022

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...

The Role of OFAC in U.S.  Sanctions of Russia

March 16, 2022

The recent events in Ukraine have resulted in an unprecedented imposition of crippling financial sanctions against Russia by the United States, the European Union and multiple countries around the globe. For the U.S., th...

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