Introduction - On 6 December 2022, the Department of Health and Human Services Office of Inspector General (HHS-OIG) issued a report (Report) that summarized findings of HHS-OIG’s review of laboratories with questionably high...more
Over the COVID-19 pandemic, telehealth has evolved from an infrequent method of providing health care services that was often abused into a vital tool used by providers to connect with patients. This article examines...more
This edition of Qui Tam Quarterly focuses on:
- the history of big data in health care FCA investigations and litigation;
- how the government has increased its ability to gather health care claims data and use it to...more
In this episode, Stephen Bittinger discusses the recent announcement that cease and desist letters from the Centers for Medicare & Medicaid Services (CMS) have been sent to 171 facilities testing for COVID-19 without proper...more
10/26/2020
/ Cease and Desist ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
CLIA ,
Clinical Laboratories ,
Coronavirus/COVID-19 ,
Healthcare Facilities ,
Infectious Diseases ,
Medical Reimbursement ,
Public Health Emergency ,
Public Safety ,
Virus Testing
Since 30 March 2020, the Centers for Medicare & Medicaid Services (CMS) exercised enforcement discretion to suspend most Medicare Fee-For-Service medical reviews and relax related requirements during the COVID-19 public...more
In this week’s episode, Stephen Bittinger discusses the impending resumption of Medicare error-based audits, which were temporarily suspended following the onset of the COVID-19 crisis. Mr. Bittinger discusses the different...more
7/17/2020
/ Audits ,
Centers for Medicare & Medicaid Services (CMS) ,
Coronavirus/COVID-19 ,
Fee-for-Service ,
Health Care Providers ,
Hospitals ,
Medical Review Officers (MROs) ,
Medicare ,
Physicians ,
Public Health Emergency ,
Regulatory Requirements
On 19 June 2020, in a major reversal of the U.S. Department of the Treasury’s (Treasury) previous position, the U.S. Small Business Administration (SBA) and Treasury announced that they will publicize additional data...more
6/26/2020
/ Borrowers ,
CARES Act ,
Coronavirus/COVID-19 ,
False Claims Act (FCA) ,
Fraud ,
Health Care Providers ,
Investigations ,
Liability ,
Loans ,
Paycheck Protection Program (PPP) ,
Public Information ,
SBA