Tag: Healthcare Compliance

New York's FAIR Business Practices Act: Impacts on Insurance

Explore the implications of New York's FAIR Business Practices Act on the insurance industry and consumer rights. Compliance is key for insurers in 2026.

Major Medicare Fraud Scheme Uncovered in Southern California

Explore the significant Medicare fraud crackdown in Southern California involving hospice services. Preventative strategies and enforcement actions detailed.

Fraudulent Hospice Activities Lead to $50 Million Medicare Scheme Arrests

Eight individuals have been arrested for a $50M Medicare fraud scheme. Learn about the crackdown on hospice fraud in California and government efforts to enhance oversight.

Understanding the Occupational Mix Survey for Medicare Reimbursement

Learn how the Occupational Mix Survey impacts Medicare reimbursements and hospital financials. Ensure data accuracy ahead of critical deadlines!

Navigating Updates to CMS Quality Payment Program and MIPS

Learn how to navigate the 2026 updates to the CMS Quality Payment Program and MIPS for maximum Medicare reimbursements effectively.

Concerns Over Hospice Fraud at Merabi Plaza: A Case Study

Explore the fraud concerns at Merabi Plaza, with 89 hospice companies. Learn about Medicare oversight, regulatory violations, and the fight against fraudulent practices.

Updated CMS Guidance on Organ Donation Processes and OPO Responsibilities

Explore the new CMS guidance on organ donation processes and OPO responsibilities, enhancing oversight and accountability within the healthcare system.

Regulatory Challenges in Medical Genetic Testing: Medicare Spending Analysis

Explore the OIG's Medicare report on rising genetic testing costs and regulatory implications for laboratory services. Key compliance insights for providers.

CMS Implements Moratorium on New DMEPOS Suppliers to Combat Fraud

CMS halts enrollment for new DMEPOS suppliers for six months to combat fraud and ensure Medicare program integrity. Stay informed and prepared.

Kaiser Permanente Settles $556M False Claims Act Case Related to Medicare Advantage

Kaiser Permanente's $556 million settlement over False Claims Act violations emphasizes the DOJ's crackdown on Medicare Advantage coding practices. Learn more!