Provider Groups and Organizations Respond to Proposed Physician Fee…
In response to the Centers for Medicare and Medicaid Services’ (CMS) proposed 2024 Medicare Physician Fee Schedule, health…
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DOJ Reaches $6.5 Million Settlement with Cardiologist Over Kickback…
Recently, the Department of Justice (DOJ) announced a $6.5 million settlement with Klaus Peter Rentrop and his medical practice,…
DOJ Announces Nearly $8.9 Million Self-Reported Stark Law Settlement
The United States Department of Justice (DOJ) recently announced a nearly $8.9 million settlement with Oliver Street Dermatology…
Genomic Health, Inc. Reaches $32.5 Million False Claims Act Settlement
Recently, Genomic Health, Inc., agreed to pay $32.5 million to resolve allegations that the company violated the False Claims Act…
Policy and Medicine Compliance Update – November 2023 Issue Features…
Welcome to the latest edition of Policy and Medicine Compliance Update. In this month's coverage, we delve into the intricate…
Cigna Settles Upcoding Allegations with DOJ for More than $172 Million
Recently, the Cigna Group agreed to pay more than $172 million to resolve allegations that it violated the False Claims Act by…
CMS Announces Changes to the ACO REACH Model
The Centers for Medicare and Medicaid Services (CMS) recently announced changes to the ACO REACH Model, in an attempt to increase…
AARP Report Highlights the Increase in Medicare Part D Drug List Price
A new report from AARP found that the 25 drugs that accounted for the highest Medicare Part D spending in 2021 more than tripled…
CMS Announces New Voluntary Model
The Centers for Medicare and Medicaid Services (CMS) recently announced a new funding opportunity for states to implement an…
ACOs Save Medicare More than $1.8 Billion in 2022
The Centers for Medicare and Medicaid Services (CMS) recently announced that the Medicare Shared Savings Program saved Medicare…