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OIG Publishes a New Guidance Resource and a Report
OIG released our General Compliance Program Guidance (GCPG). The GCPG is a reference guide for the health care compliance community and other health care stakeholders. The…
Texas Attorney General’s Medicaid Fraud Control Unit Helps Secure 49-Month Sentence and Over $5 Million Restitution in Orthopedic Supplies Fraud Case
This is a common tale. It seems like most of my time is spent explaining to clients why you cannot pay marketers a percentage of the…
HHS Office of Civil Rights Requiring Healthcare Providers to Use HIPAA-compliant Telehealth Platforms by August 10
HHS Office of Civil Rights is requiring all healthcare providers to use HIPAA-compliant telehealth platforms by Aug. 10. When the Public Health Emergency ended in May,…
Period of Enhanced Oversight for New Hospices in Arizona, California, Nevada, & Texas
CMS is placing newly enrolling hospices located in Arizona, California, Nevada, and Texas in a provisional period of enhanced oversight. Over the last 12 months, we’ve…
Artificial Intelligence, Cybersecurity and the Health Sector
HHS Health Sector Cybersecurity Coordination Center (HC3) has published a report (PDF) detailing cybersecurity concerns for healthcare providers. In particular, what can be done to remain…
Texas Lawyer Convicted of Conspiracy and Perjury for Laundering Kickbacks
This was intentional criminal conduct of conspiracy and perjury related to Anti-Kickback Statute violations. From a U.S. Attorney’s Office for the Eastern District of Texas Press…
OIG Advisory Opinion 23-04 – Favorable Opinion Regarding the Use of an Online Health Care Directory by Federal Health Care Program Beneficiaries
A website offers users the ability to search for physicians and other health care providers who have paid a fee to be included in the database.…
Toolkit: Analyzing Telehealth Claims to Assess Program Integrity Risks
This toolkit provides detailed information on methods to analyze telehealth claims to identify program integrity risks associated with telehealth services. It is based on the methodology…
Supreme Court Preserves Access to Abortion Pill Mifepristone
The Supreme Court preserves access to the abortion pill mifepristone while the appeals play out. The case goes back to the 5th Circuit, where the FDA…
Office for Civil Rights Reminder HIPAA Flexibilities End May 2023
HHS Office of Civil Rights confirmed that that four Notifications of Enforcement Discretion (“Notifications”) will expire upon expiration of the COVID-19 PHE, which is currently scheduled…