Wade Emmert

OIG Advisory Opinion No. 26-15 concludes that a home health agency’s payment of subscription fees to a vendor for online referral management software would generate prohibited…

The Justice Department charged 455 defendants, including 90 doctors and licensed medical professionals, in the 2026 National Health Care Fraud Takedown tied to more than $6.5…

OIG Advisory Opinion No. 26-14 grants a favorable determination to a pharmaceutical manufacturer sponsoring free antibody testing to identify patients potentially eligible for its drug. Under…

CMS has proposed a rule that would cut $774.8 billion in state and federal Medicaid spending over 10 years by capping State Directed Payments (SDPs), far…

AI adoption in healthcare has moved from hesitation to integration, with roughly 40% of life sciences organizations reporting AI embedded throughout their operations. The speed of…

OIG has approved an orthopedic surgery provider’s proposed warranty program that refunds concierge fees to patients requiring revision surgery within two years of their initial procedure.…

CMS has imposed six-month, nationwide moratoria on new Medicare enrollment for hospices and home health agencies, blocking both initial enrollment applications and certain changes in majority…

CMS has imposed six-month, nationwide moratoria on new Medicare enrollment for hospices and home health agencies (HHAs), blocking initial enrollment applications and certain changes in majority…

The Justice Department’s Civil Division launched the FOCUS (Fraud Oversight through Careful Use of Statistics) initiative to formalize its relationship with data miners filing qui tam…