HHS HHS OIG Says Proposal to Provide Samples for Inpatient Use Okay Thomas Sullivan Mar 31, 2023 0 The Department of Health and Human Services Office of Inspector General (HHS OIG) recently issued an advisory opinion in response…
CMS CMS Issues Final Rule on Calculating MA Overpayments from Risk Adjustment… Thomas Sullivan Mar 30, 2023 0 On January 30, the Centers for Medicare & Medicaid Services (CMS) released a long-awaited final rule addressing how it will…
HHS Texas Court Vacates Part of IDR Rule Thomas Sullivan Mar 29, 2023 0 On February 6, 2023, the United States District Court for the Eastern District of Texas ruled in favor of the Texas Medical…
Anti Kickback $43 Million Verdict Against Precision Lens for Illegal Kickbacks Thomas Sullivan Mar 28, 2023 0 A federal civil jury recently returned a verdict against The Cameron-Ehlen Group d/b/a Precision Lens and its majority owner Paul…
DOJ United States Files Complaint in Intervention in FCA Case with Rite Aid Thomas Sullivan Mar 27, 2023 0 The United States recently filed a complaint in intervention in a False Claims Act (FCA) lawsuit against Rite Aid Corporation and…
Cardiology First Annual Cardiovascular & Pulmonary Summit for Advanced Practice… Thomas Sullivan Mar 26, 2023 0 PCE (Practicing Clinicians Exchange), a brand of Clinical Education Alliance (CEA) Holdings, is excited to announce the launch of…
False Claims Act Policy and Medicine March 2022 Issue Features FDA Exclusivity, Baby Powder,… Thomas Sullivan Mar 25, 2023 0 Policy and Medicine Compliance Update is our monthly compliance publication designed to help compliance professionals go in depth…
State Policy California is the Latest State to Settle with Centene Over Overpayment… Thomas Sullivan Mar 24, 2023 0 California Attorney General Rob Bonta recently announced a $215,392,758 settlement with Centene Corporation and its subsidiaries…
CMS MGMA Submits Comments to CMS in Support of Prior Authorization Reforms Thomas Sullivan Mar 23, 2023 0 The Medical Group Management Association (MGMA) submitted comments to Centers for Medicare and Medicaid Services (CMS)…
DOJ Fiscal Year 2022 False Claims Act Settlements and Judgments Exceed $2… Thomas Sullivan Mar 22, 2023 0 In the Fiscal Year ending September 30, 2022, settlements and judgments under the False Claims Act exceeded $2.2 billion. That…