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Recent Blog Posts

  • Today, a final rule issued by the Centers for Medicare & Medicaid Services (CMS) establishing new enforcement initiatives aimed at removing and excluding previously sanctioned entities from Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP) goes into effect.[1] Published September 10 with a comment period that also closed today, the new rule expands CMS’s “program integrity enhancement” capabilities by introducing new revocation and denial authorities and increasing reapplication and enrollment bars as part of the Trump Administration’s efforts to... More
  • While the opioid crisis has inspired a wave of new legislation by Congress, the U.S. Department of Justice (“DOJ”) has continued to increase its own response to the prevalent rate of opioid-related drug crimes with a number of new initiatives.  On October 17th, Deputy Attorney General Rod Rosenstein recently delivered remarks at the America’s Health Insurance Plans 2018 National Conference on Medicaid and highlighted the Department’s continued determination to tackle the opioid crisis. Rosenstein’s remarks reiterated Attorney General Jeff Sessions’... More
  • On Monday, August 12, 2018, the U.S. Department of Justice (“DOJ”) announced a new addition to its regional Medicare Fraud Strike Forces: a Newark/Philadelphia Regional Medicare Strike Force that will target both healthcare fraud and opioid overprescription.[1] The newly-formed Newark/Philadelphia Strike Force joins nine existing regional Medicare Strike Forces, all of which are focused in geographical areas of high healthcare fraud risk: Miami, Florida; Los Angeles, California; Detroit, Michigan; Southern Texas; Southern Louisiana; Brooklyn, New York; Tampa, Florida; Chicago, Illinois;... More
  • This is the 7th and final installment in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part... More
  • This is part 6 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 5 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 4 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 3 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • This is part 2 of 7 in the Medicare Secondary Payer Compliance series. All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare... More
  • All titles in this series can be viewed below. Subscribe to our blog to receive these future updates. Prior installments of this series can be accessed using the links provided. Medicare Secondary Payer Compliance: An Introduction (Part I) Medicare Secondary Payer Compliance: Conditional Payments (Part II) Medicare Secondary Payer Compliance: Group Health Plans (Part III) Medicare Secondary Payer Compliance: Non-Group Health Plans (NGHPs) (Part IV) Medicare Secondary Payer Compliance: Providers (Part V) Medicare Secondary Payer Compliance: The False Claims Act (FCA) for Providers (Part VI) Medicare Secondary... More