Trey Hendershot on Centers for Medicare & Medicaid Services (CMS)

Qlarant, Novitas Audits Escalate as Medicare Skin Substitutes Spending Hits $1.6 Billion, CMS Seeks Evidence of Clinical...

The wound care industry faces unprecedented scrutiny as Medicare Part B expenditures for skin substitutes exceeded $1.6 billion in the fourth quarter of 2023 alone. The spending surge has triggered a wave of skin substitute...more

7/18/2025 / Audits , Best Practices , Centers for Medicare & Medicaid Services (CMS) , Compliance , Documentation , Enforcement Actions , Fraud , Health Care Providers , Health Insurance , Healthcare Fraud , Medical Devices , Medical Records , Medicare , Medicare Part B , Popular , Regulatory Requirements , Reporting Requirements

Texas Healthcare Providers Paid $21.3 Million to Resolve Stark Law Violations in 2024

Healthcare fraud enforcement continues to be a top priority for federal authorities, with Stark Law violations remaining under particular scrutiny. The complex nature of physician self-referral regulations, combined with...more

1/23/2025 / Centers for Medicare & Medicaid Services (CMS) , Compliance , Department of Health and Human Services (HHS) , Department of Justice (DOJ) , Enforcement Actions , False Claims Act (FCA) , Health Care Providers , Healthcare Fraud , Medicare , OIG , Patient Referrals , Self-Disclosure Requirements , Stark Law , Texas , TRICARE

Doctors: Don’t Fall Victim To Telemedicine Fraud Schemes

Telemedicine companies are supposed to facilitate medically necessary services to beneficiaries over the telephone via licensed medical professionals. In reality, however, many of these “telemedicine companies” are...more

3/11/2024 / Anti-Kickback Statute , Centers for Medicare & Medicaid Services (CMS) , Civil Monetary Penalty , Department of Health and Human Services (HHS) , Department of Justice (DOJ) , Durable Medical Equipment , False Claims Act (FCA) , Fraud , Health Care Providers , Medicaid , Medical Testing , Medicare , OIG , Physicians , Prescription Drugs , Telemedicine , TRICARE

A Provider’s Guide to OIG's Self-Disclosure Protocol

The OIG offers providers an opportunity to self-report certain violations under its Health Care Fraud Self-Disclosure Protocol. If you uncover a violation of federal healthcare laws or requirements – through your own...more

6/19/2023 / Anti-Kickback Statute , Centers for Medicare & Medicaid Services (CMS) , False Claims Act (FCA) , Good Faith , Health Care Providers , Internal Audit Functions , OIG , Self-Disclosure Requirements , Stark Law

7 Telehealth Red Flags – OIG Shares Measures for Spotting Medicare Fraud

The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) published a report last month assessing the program integrity risks associated with Medicare telehealth services. After analyzing...more

10/21/2022 / Centers for Medicare & Medicaid Services (CMS) , Coronavirus/COVID-19 , Health Care Providers , Healthcare Fraud , Medicare , OIG , Telehealth

Trey Hendershot

Hendershot Cowart P.C.

Popular Topics by This Author

Latest Posts › Centers for Medicare & Medicaid Services (CMS)

Qlarant, Novitas Audits Escalate as Medicare Skin Substitutes Spending Hits $1.6 Billion, CMS Seeks Evidence of Clinical...

Texas Healthcare Providers Paid $21.3 Million to Resolve Stark Law Violations in 2024

Doctors: Don’t Fall Victim To Telemedicine Fraud Schemes

A Provider’s Guide to OIG's Self-Disclosure Protocol

7 Telehealth Red Flags – OIG Shares Measures for Spotting Medicare Fraud

Trey Hendershot

Hendershot Cowart P.C.

Popular Topics by This Author

Latest Posts › Centers for Medicare & Medicaid Services (CMS)

Qlarant, Novitas Audits Escalate as Medicare Skin Substitutes Spending Hits $1.6 Billion, CMS Seeks Evidence of Clinical...

Texas Healthcare Providers Paid $21.3 Million to Resolve Stark Law Violations in 2024

Doctors: Don’t Fall Victim To Telemedicine Fraud Schemes

A Provider’s Guide to OIG's Self-Disclosure Protocol

7 Telehealth Red Flags – OIG Shares Measures for Spotting Medicare Fraud

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