What's New

December 20, 2024

Some HHS Requirements for Vetting Mobile Apps Were Not Followed Prior to the Release of the AHRQ Question Builder App A-18-22-09008

Providers Used Medicare Part D Eligibility Verification Transactions for Permissible Purposes A-05-22-00022

Some Selected Skilled Nursing Facilities Did Not Comply With Medicare Requirements for Reporting Related-Party Costs A-05-22-00022

Updated: Corporate Integrity Agreements

Updated: CMP and Affirmative Exclusions/EMTALA

Enforcement Actions

December 19, 2024; U.S. Attorney's Office, Northern District of Alabama

Former Doctor and Her Wife Sentenced for Fraud and Other Crimes

December 18, 2024; U.S. Department of Justice

Justice Department Files Nationwide Lawsuit Alleging CVS Knowingly Dispensed Controlled Substances in Violation of the Controlled Substances Act and the False Claims Act

December 17, 2024; U.S. Attorney's Office, District of Massachusetts

Lexington Doctor Sentenced for Engaging in International Money Laundering Scheme and Importing Illegal and Misbranded Drugs

What's Trending

1. Fraud Alert: Genetic Testing Scam
2. Lorien Health Services Agreed to Pay $55,000 for Allegedly Violating the Civil Monetary Penalties Law by Retaining Overpayments
3. Nationwide Genetic Testing Fraud
4. Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care
5. Compliance Overview