In November 2024, the U.S. Department of Health and Human Services’ Office of the Inspector General (“OIG”) published the long-awaited Industry Segment-Specific Compliance Program Guidance for Nursing Facilities (“Nursing...more
3/26/2025
/ Compliance ,
Compliance Monitoring ,
Department of Health and Human Services (HHS) ,
Healthcare Facilities ,
Long Term Care Facilities ,
New Guidance ,
Nursing Homes ,
OIG ,
Quality of Care Standards ,
Regulatory Oversight ,
Regulatory Requirements ,
Risk Management
On January 29, the New York State Office of the Medicaid Inspector General (OMIG) published its 2025 Work Plan, which provides a preview of the OMIG’s program integrity initiatives for the upcoming year. While this post...more
2/14/2025
/ Artificial Intelligence ,
Audits ,
Compliance ,
Data Privacy ,
Fraud ,
Health Care Providers ,
Healthcare ,
Healthcare Fraud ,
Medicaid ,
Nursing Homes ,
OIG ,
Public Health ,
Regulatory Agenda ,
Reporting Requirements
On November 20, 2024, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released the “Nursing Facility ICPG,” an industry-specific compliance program guidance for nursing facilities....more
12/9/2024
/ Anti-Discrimination Policies ,
Anti-Kickback Statute ,
Billing ,
Breach Notification Rule ,
Centers for Medicare & Medicaid Services (CMS) ,
Compliance ,
Department of Health and Human Services (HHS) ,
Fraud Abuse and Waste ,
Health Insurance Portability and Accountability Act (HIPAA) ,
OIG ,
Public Policy ,
Quality of Care Standards ,
Skilled Nursing Facility
On November 9, the Pharmaceutical Coalition for Patient Access (PCPA) filed an action against the U.S. Department of Health and Human Services (HHS) after HHS’s Office of Inspector General (OIG) determined that a proposed...more
In a recent Advisory Opinion, the U.S. Department of Health and Human Services’ Office of Inspector General (OIG) determined that an arrangement involving certain physicians who have an ownership interest in a medical device...more
The U.S. Department of Justice (DOJ) recently intervened in an action filed in Texas against two laboratory CEOs, one hospital CEO, and numerous other executives, employees, and recruiters, seeking civil penalties and treble...more