What's New

September 1, 2023

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2021 Average Sales Prices OEI-03-23-00120

Updated: Corporate Integrity Agreements

August 31, 2023

One Quarter of Medicaid Enrollees with HIV May Not Have Received Critical Services in 2021 OEI-05-22-00240

Widespread Pandemic Disruption Spurred Innovation to State Paternity Establishment Practices OEI-06-21-00150

Enforcement Actions

August 31, 2023; U.S. Department of Justice

Watermark Retirement Communities To Pay $4.25 Million For Allegedly Receiving Kickback In Violation Of The False Claims Act

August 31, 2023; U.S. Attorney's Office, Northern District of Iowa

Sioux City Nurse Pleads Guilty To Stealing Controlled Substances From Hospital Employer

August 30, 2023; U.S. Department of Justice

Health Care Provider Agrees To Pay $5 Million For Alleged False Claims To California's Medicaid Program

What's Trending

1. Cambridge Internist Pays More Than $176,000 to the United States to Resolve False Claims Act Allegations that He Administered Medically Unnecessary Procedures
2. Fraud Alert: Scammers Steal Money From the Public Through Fake HHS Websites and Social Media Schemes
3. Inspector General Grimm RISE Conference Speech - OIG�s Vantage on Medicare Advantage
4. Medicare Made $17.8 Million in Potentially Improper Payments for Opioid-Use-Disorder Treatment Services Furnished by Opioid Treatment Programs
5. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Presbyterian Health Plan, Inc. (Contract H3204) Submitted to CMS