May 14th, 2014
The Office of Inspector General (OIG) issued a proposed rule May 12 to amend the civil monetary penalty (CMP) rules at 42 CFR parts 1003 and 1005, which the agency is authorized to do under the Affordable Care Act of 2010 (ACA). ACA provides for CMPs, assessments, and exclusion for: Failure to grant OIG timely ...
In CMS
Apr 15th, 2011
The Centers for Medicare & Medicaid Services (CMS) and the Office of Inspector General (OIG) published in the Federal Register (vol. 76, No. 67) April 7 a notice regarding accountable care organizations (ACOs) with comment period. Together, these federal agencies are seeking public comment on the proposal for waivers of certain fraud and abuse laws to ...
Feb 25th, 2011
Violating 41 patients’ privacy rights will cost Cignet Health of Prince George’s County, Md. dearly, but not nearly as much as the price tag for not cooperating with the government. The insurer’s actions have resulted in the first civil money penalty (CMP) issued by the U.S. Department of Health and Human Services (HHS) for violating the Privacy Rule ...
Nov 12th, 2010
The Office of Inspector General (OIG) announced Nov. 5 that it has developed a new resource designed to help medical students and new physicians understand the various health care fraud and abuse laws. OIG “Roadmap” Guides New Doctors to Compliance was last modified: July 5th, 2011 by admin aapc...
In CMS
May 28th, 2010
Quality Health Plans (QHP) received notice on May 17 of the Centers for Medicare & Medicaid Services’ (CMS) intent to impose intermediate sanctions and a civil monetary penalty (CMP). The  federal agency contends that the Tampa, Fla.-based insurer has failed to comply with a number of administrative and contract management requirements. Medicare Suspends, Fines Insurer QHP was last modified: Ju...