Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care
Read the ReportWhat's New
- May 3, 2022
- Updated: Civil Monetary Penalties and Affirmative Exclusions
- May 2, 2022
- Advisory Opinion 22-10 - Modification of Advisory Opinion 15-14
- April 28, 2022
- Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary Care OEI-09-18-00260
- Eye on Oversight Video: Medicare Advantage Denials of Care
Enforcement Actions
- May 2, 2022; U.S. Attorney's Office, Southern District of New York
- U.S. Attorney Announces Settlement Of Fraud Lawsuit Against Online Pharmacy For Overdispensing Insulin
- April 28, 2022; U.S. Department of Justice
- Doctor Sentenced in $12 Million Medicare Fraud and Device Adulteration Scheme
- April 28, 2022; U.S. Department of Justice
- Pharmacy Owner Pleads Guilty in Health Care Fraud and Kickback Scheme