Discover the latest figures for criminal and civil recoveries from MFCU cases and referrals to HHS OIG, and exclusion data for individuals and entities.
May HHS OIG Work Plan updates include audits of nursing home infection prevention and control program deficiencies and COVID-19 oversight, a review of the CARES Act, Medicare Part D payment reporting, and more.
April HHS OIG Work Plan updates include an audit of COVID-19 testing kits, a report on Medicare Part D opioid use in 2019, a report on hospitals’ emergency infectious disease preparedness, and more.
Our healthcare exclusion and license verification solution has enabled this customer to have clarity in our exact-match automated results straight from primary sources.
March HHS OIG Work Plan updates include CMS protocol for assessing hospitals’ compliance with the Conditions of Participation, Medicare hospital payments involving acute and post-acute care transfer policies, and more.
We’ve partnered with this health system for over 8 years, and have helped them stay compliant and optimize their team workflows for ongoing provider and vendor monitoring.
February HHS OIG Work Plan updates include a review of the impact on MA risk adjustment payments, Medicare Part D audits, MCO and PBM pricing, Medicaid waiver programs, and more.
HHS OIG recommends that CMS require MAOs to submit NPIs for ordering providers. Explore the reasons why this information would be helpful to prevent FWA, and the concerns from payers in regard to the accuracy of CMS encounter data.
January HHS OIG Work Plan updates include a review of IRF early transfer policies, an audit of the Office of Refugee Resettlement’s placement and transfer of children, an audit for CMS Medicaid PERM program, and more.