Feb 8th, 2018
The Office of Inspector General’s (OIG) ongoing target of opioid fraud and abuse of taxpayer’s money will continue as the U.S. opioid crisis continues. The latest takedown was Rodney Moret, MD, age 67, who was sentenced to “75 months’ imprisonment for participating in conspiracies to distribute prescription pills illegally and to defraud,” according to the ...
In Audit
Feb 4th, 2018
By congressional request, the Office of Inspector General (OIG) prompted a series of audits, which investigated group home abuse and neglect of developmentally disabled residents. The findings were horrifying. According to their website, they “found that these residents often experienced serious injuries and medical conditions that resulted in emergency room visits,” and that “99 percent ...
In Billing
Jan 29th, 2018
Continuing the effort to prevent and combat healthcare fraud, waste, and abuse where it occurs most, the Centers for Medicare & Medicaid Services (CMS) has extended the statewide temporary moratoria on the enrollment of new Medicare Part B, Medicaid, and Children’s Health Insurance Program (CHIP) non-emergency ground ambulance providers and suppliers and home health agencies, sub-units, and ...
In CMS
Jan 23rd, 2018
The U.S. Department of Veterans Affairs (VA) and U.S. Department of Health and Human Services (HHS) announced on Jan. 23 they are joining forces to share data, data analytics tools, and best practices to help identify and prevent fraud, waste, and abuse of government healthcare dollars. The effort will help America’s veterans by using gains ...
Nov 10th, 2017
Lately it seems that the Office of Inspector General’s (OIG) focus is on fraud and abuse of federal healthcare dollars via the False Claims Act; however, a case in Newark, N.J., has proven that the Anti-Kickback Statute also is being enforced in a big way. A Staten Island doctor, Ahmed El Soury, has been sentenced ...