The new House Rules package adopted by the Republican majority in the U.S. House of Representatives on January 9, 2023, to govern the proceedings of the 118th Congress included a variety of changes to the House Committee on...more
SIU stands for Special Investigation Unit, and nearly all insurance companies have one, especially health insurers. SIUs exist to investigate complaints of fraud, waste or abuse, and train claims personnel to recognize and...more
On July 26, 2022, we published a blog post detailing part one of three of proposed regulations published by the New York State Office of Medicaid Inspector General (OMIG). The proposed regulations would repeal the current...more
The California Department of Insurance (CDI) has amended its Special Investigative Unit (SIU) regulations, and the rules take effect Oct. 1, 2020. (10 CCR 2698.30 et seq.) The new rules tighten the compliance requirements...more
Medical record requests by payors are commonplace for health care providers. Typically, these requests are received by a front desk employee who responds to the inquiry in short order. Yet, not all requests should be treated...more
More active SIUs may mean more scrutiny of Medicaid providers - The Texas Office of Inspector General (OIG) has just completed its first full year of reforms under a new Inspector General. 2017 may reveal whether these...more