What's New

September 16, 2020

Maine Did Not Always Invoice Rebates to Manufacturers for Physician-Administered Drugs A-07-18-06079

Group Health Incorporated Overstated Its Allowable Medicare Supplemental Executive Retirement Plan Costs for Calendar Years 2009 Through 2016 A-07-19-00582

Group Health Incorporated Claimed Some Unallowable Medicare Postretirement Benefit Costs for Calendar Years 2009 Through 2016  A-07-19-00583

September 15, 2020

Updated: Work Plan

Read More What's New

Enforcement Actions

September 14, 2020; U.S. Attorney's Office, District of South Dakota

Rapid City Man Sentenced for Wire Fraud and Theft of Government Property

September 14, 2020; U.S. Attorney's Office, Western District of Pennsylvania

Ex-Doctor's Girlfriend Sentenced in Scheme to Illegally Distribute Oxycodone and Defraud Medicare and Medicaid

September 11, 2020; U.S. Department of Justice

The Scripps Research Institute To Pay $10 Million To Settle False Claims Act Allegations Related To Mischarging NIH-Sponsored Research Grants

Read More Enforcement Actions

What's Trending

1. Billions in Estimated Medicare Advantage Payments From Diagnoses Reported Only on Health Risk Assessments Raise Concerns
2. Medicare Contractors Were Not Consistent in How They Reviewed Extrapolated Overpayments in the Provider Appeals Process
3. National Background Check Program for Long Term Care Providers: Assessment of State Programs Concluded in 2019
4. Audit of Medicare Payments for Inpatient Discharges Billed by Hospitals for Beneficiaries Diagnosed With COVID-19
5. Hospitals Overbilled Medicare $1 Billion by Incorrectly Assigning Severe Malnutrition Diagnosis Codes to Inpatient Hospital Claims