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What can Medicaid plans and providers expect as a result of new CMS Medicaid integrity initiatives?
  • Dykema Gossett PLLC
  • USA
  • July 19 2018

On June 26, 2018, the Centers for Medicare and Medicaid Services (CMS) announced several initiatives to strengthen Medicaid integrity. While these

Retail Pharmacy: OIG Signals It’s Okay to Reward Again
  • Morgan Lewis
  • USA
  • October 4 2017

The US Department of Health and Human Services Office of Inspector General (OIG) issued an advisory opinion on September 7 that provides important

OIG Approves Pharmacy’s Benefit Program
  • Greenberg Traurig LLP
  • USA
  • September 14 2017

The Office of Inspector General for the U.S. Department of Health & Human Services (OIG) recently issued Advisory Opinion 17-05, in which it approved

OIG Publishes Semiannual Report to Congress
  • Mintz
  • USA
  • June 9 2017

Earlier this month, the Office of the Inspector General for the Department of Health and Human Services (“OIG”) published its Semiannual Report to

OIG Issues Top 25 Unimplemented Cost-Savings and Quality-Improvement Recommendations for HHS Programs
  • Reed Smith LLP
  • USA
  • June 2 2017

The Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) has released the 2017 edition of its Compendium of

The DOJ Enters Another FCA Lawsuit Against UnitedHealth
  • Baker & Hostetler LLP
  • USA
  • May 30 2017

The U.S. Department of Justice (DOJ) recently filed its complaint in intervention in another whistleblower lawsuit brought under the False Claims Act

Department of Justice Continues to Scrutinize Medicare Advantage Plans
  • Haynes and Boone LLP
  • USA
  • April 27 2017

Medicare Advantage plans have been the target of a number of False Claims Act cases in recent years. In those cases, private whistleblowers - mostly

Payment Matters: To Collect or Not to Collect?
  • Krieg DeVault
  • USA
  • April 26 2017

A frequent question from physicians is: What do I do if I have a patient who does not pay his or her bill? And for those physicians who are thinking

Prescriber Enrollment Requirements for Part D Prescriptions: Enforcement to Begin in Early 2017
  • Hall Render Killian Heath & Lyman PC
  • USA
  • April 19 2017

The Centers for Medicare & Medicaid Services (“CMS”) announced that it will delay enforcement of its final rule (“Final Rule”) requiring physicians

OIG Advisory Opinion on Free or Reduced-Cost Lodging and Meals
  • Krieg DeVault
  • USA
  • April 3 2017

On March 10, 2017 the Department of Health and Human Services, Office of Inspector General (“OIG”) published Advisory Opinion No. 17-01 regarding a