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June 27, 2016

Recent Stories

From Report on Medicare Compliance - Corporate integrity agreements (CIAs) have gotten an overhaul from the HHS Office of Inspector General, which will now put more weight on risk assessments, a top OIG attorney tells RMC. One goal is for providers to be more effective at self-policing when their CIAs, which are part of fraud settlements, come to an end. “We are coming out with a new CIA model agreement,” says Susan Gillin, deputy chief of the Administrative and Civil Remedies Branch. Read more

In a highly anticipated decision, the U.S. Supreme Court paved the way… Read more

In the wake of an impassioned decision from the U.S. Court of… Read more

Claims for short hospital stays that were denied by Beneficiary and Family… Read more

From the Editor

Welcome to your Report on Medicare Compliance subscriber-only Web page

Be sure to visit often, for PDFs of issues, archives of articles, links to government documents and more!

Please e-mail me with your comments on the last issue of Report on Medicare Compliance, story ideas for future issues, or any other suggestions you have that can make the newsletter more useful for you.

June 7, 2016
OIG Updates Work Plan With ACOs, Home Health Fraud

OIG posted its mid-year 2016 Work Plan update, with new items on ACOs and home health fraud.

June 7, 2016
CMS Elaborates on Pause of QIO Reviews Under Two-Midnight Rule

CMS elaborates on "temporary pause" of QIO reviews under two-midnight rule.

June 7, 2016
Genentech, OSI Settle False Claims Allegations for $67M

Genentech and OSI Pharmaceuticals will pay $67 million to settle false claims allegations on statements the companies made about cancer drug Tarceva.

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