What's New

February 20, 2024

Medicare Advantage Compliance Audit of Specific Diagnosis Codes That MediGold (Contract H3668) Submitted to CMS A-07-20-01198

Findings of Whistleblower Retaliation by Indian Health Service Contractor Management

Updated: Connecticut State False Claims Act Review Letter

February 16, 2024

Report to Congress on the Reported Impact of Discarded-Drug Refunds on Biosimilar Biological Products A-06-23-04003

Enforcement Actions

February 16, 2024; U.S. Department of Justice

Doctor Convicted of $2.8M Medicare Fraud Scheme

February 16, 2024; U.S. Attorney's Office, District of Massachusetts

Owner of Telemedicine Companies Charged with $110 Million Medicare Fraud Scheme

February 16, 2024; U.S. Attorney's Office, Eastern District of Pennsylvania

Former Delaware Specialty Pharmacy Chief Marketing Officer Agrees to Six-Year Exclusion from Federal Healthcare Programs for Allegations of Kickback and False Claims Act Violations

What's Trending

1. General Compliance Program Guidance
2. A Roadmap for New Physicians: Avoiding Medicare and Medicaid Fraud and Abuse
3. National Snapshot of State Agency Approaches To Reporting and Locating Children Missing From Foster Care
4. Gaps in Sponsor Screening and Followup Raise Safety Concerns for Unaccompanied Children
5. Recently Added Work Plan Updates