What's New

October 30, 2020

Minnesota Did Not Bill Manufacturers for Some Rebates for Drugs Dispensed to Enrollees of Medicaid Managed-Care Organizations A-05-17-00018

Medicare Hospital Provider Compliance Audit: St Francis Hospital A-05-18-00048

October 27, 2020

Updated: Corporate Integrity Agreements

October 26, 2020

Updated: Work Plan

Massachusetts Claimed Unallowable Federal Reimbursement for Some Medicaid Physician-Administered Drugs A-06-18-04001

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Enforcement Actions

October 29, 2020; Department of Justice

Medtronic to Pay Over $9.2 Million To Settle Allegations of Improper Payments to South Dakota Neurosurgeon

October 29, 2020; New Jersey Attorney General

Attorney General Grewal Recognizes Groundbreaking Anti-Fraud Efforts of Sandy Fraud Task Force on Eighth Anniversary of Superstorm Sandy

October 29, 2020; U.S. Attorney's Office, District of Massachusetts

Colombian National Pleads Guilty to $109 Million Medicare Fraud Scheme

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What's Trending

1. HHS OIG: Many Children Separated from Parents, Guardians Before Ms. L. v. Ice Court Order and Some Separations Continue
2. Cedars-Sinai Medical Center: Audit of Medicare Payments for Bariatric Surgeries
3. Billions in Estimated Medicare Advantage Payments From Chart Reviews Raise Concerns
4. Incorrect Acute Stroke Diagnosis Codes Submitted by Traditional Medicare Providers Resulted in Millions of Dollars in Increased Payments to Medicare Advantage Organizations
5. Medicare Home Health Agency Provider Compliance Audit: Gem City Home Care, LLC