Tag: Healthcare Compliance

Proposed Regulatory Changes in Health Privacy and Insurance

Explore the 2026 Unified Agenda's proposed HHS regulations impacting health privacy and insurance. Stay informed on HIPAA amendments and compliance strategies.

HHS OIG Investigations: Impact on Healthcare Compliance

Explore how OIG investigations are reshaping healthcare compliance and insurance risk management. Stay informed on critical regulatory updates that affect stakeholders.

New York Department of Health Imposes $544,000 Fine for Vaccination Fraud

New York imposes a historic $544,000 fine for falsifying vaccination records, emphasizing the importance of accurate immunization data in public health.

GEICO Sues Clinics for $5.2 Million in Fraudulent Billing under PIP Laws

GEICO's lawsuit against Miami clinics highlights fraudulent PIP billing practices. Learn about the implications for insurance fraud and claims management.

Understanding CMS Payment Suspensions and Provider Compliance Strategies

Explore how CMS payment suspensions impact healthcare providers and discover strategies for effective compliance, legal counsel, and proactive engagement.

Proposed Medicare Payment Updates for Outpatient and ASC Services

Discover upcoming Medicare payment proposals impacting outpatient services and ASC regulations. Stay informed for significant changes in healthcare compliance.

Major $32M Settlement in Healthcare Reverse FCA Case - A Compliance Wake-Up Call

Explore the $32 million DOJ settlement addressing Medicare overpayments, enhancing compliance regulations for healthcare providers. Essential reading for industry stakeholders.

New CMS Payment Rule for Home Health Services Set for 2027

Discover CMS's proposed payment rule for home health services, increasing rates for 2027 but introducing temporary adjustments. Learn more about its impact.

CMS Requests Feedback on PBM Regulation Under CAA 2026

Explore how CMS is regulating Pharmacy Benefit Managers under CAA 2026, seeking feedback on compensation models and data reporting requirements. Act by July 20, 2026!

Significant Findings in New York State Comptroller Audits

Explore New York's audit findings on Medicaid payments and property management. Learn about fiscal responsibility, compliance issues, and operational improvements.