Consumer Alert: Remote Patient Monitoring
Read the AlertConsumer Alert: Fraud Schemes Targeting Native American Communities in Behavioral Health Treatment Centers
Read the AlertNEW: General Compliance Program Guidance
Read the GuidanceWhat's New
- November 30, 2023
- Medicare Advantage Compliance Audit of Specific Diagnosis Codes That SelectCare of Texas, Inc. (Contract H4506), Submitted to CMS A-06-19-05002
- November 28, 2023
- Multiple States Made Medicaid Capitation Payments to Managed Care Organizations After Enrollees' Deaths A-04-21-09005
- Early Alert: Part B Payment Amount for Tezspire Included a Noncovered Self-Administered Version in 2023 OEI-BL-24-00030
- November 27, 2023
- The Risk of Misuse and Diversion of Buprenorphine for Opioid Use Disorder in Medicare Part D Continues to Appear Low: 2022 OEI-02-24-00130
Enforcement Actions
- November 29, 2023; U.S. Attorney's Office, Western District of Washington
- Sleep disorder medical practice with clinics in California and Washington resolves allegations it overbilled government medical programs
- November 29, 2023; U.S. Attorney's Office, Eastern District of New York
- Queens Pharmacist Sentenced to 60 Months in Prison for Illegally Distributing Oxycodone and Filing False Tax Returns
- November 28, 2023; U.S. Attorney's Office, District of Montana
- Former Blackfeet Tribal operations manager suspected of stealing tribal COVID-19 relief funding arraigned on charges