What's New

March 21, 2024

New Video: HHS-OIG's Perspective on Managed Care

March 19, 2024

Utah MMIS and E&E System Had Adequate Security Controls In Place, but Improvements Are Needed

South Carolina MMIS and E&E System Security Controls Were Adequate, but Some Improvements Are Needed

March 18, 2024

NEW HHS-OIG Impact Brief: Medicare Advantage Prior Authorization

Enforcement Actions

March 21, 2024; U.S. Attorney's Office, Western District of Virginia

Doctor at L5 Pain Clinic Sentenced to 18 Months in Prison, Ordered to Pay Over $200,000

March 20, 2024; U.S. Attorney's Office, Eastern District of Pennsylvania

Philadelphia Pharmacy Criminal Pleas and Civil Resolutions Result in Multiple Criminal Convictions and Over $4 Million Recovered

March 20, 2024; U.S. Attorney's Office, District of South Carolina

Mt. Pleasant Man Sentenced to Nine Years in Federal Prison for Role in One of the Largest Medicare Fraud Schemes in History

What's Trending

1. Medicare Inpatient Hospital Billing for Sepsis
2. Consumer Alert: Urinary Catheter Scams
3. IG Grimm Named Among Top Women Leaders in Health Care
4. About Office of Investigations
5. Pennsylvania Improperly Claimed $551 Million in Medicaid Funds for Its School-Based Program