Meaningful Use Audits On the Rise

Medicare and Medicaid have increased their audits of providers who attested to “meaningful use” in order to receive payments under the Medicare and Medicaid Electronic Health Record Incentive Program (“EHR … Continue Reading →


OIG Issues Negative Advisory Opinion Regarding a Psychiatry Group’s Proposed Arrangement with an Anesthesia Group

On November 12, 2013, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) posted Advisory Opinion 13-15, an unfavorable opinion involving an anesthesia services provider’s proposal … Continue Reading →


OIG Approves Provision of Free Dental Supplies and Services to Uninsured and Underinsured Children

On October 15, 2013, U.S. Department of Health and Human Services Office of Inspector General (OIG) posted Advisory Opinion 13-13 concerning a nonprofit community health services organization’s proposal to begin … Continue Reading →


CMS Issues Guidance On Policy Regarding Hospital Inpatient Admission Orders and Certifications

On September 5, 2013, the Centers for Medicare & Medicaid Services (CMS) released a guidance document entitled “Hospital Inpatient Admission Order and Certification” which interprets its new requirements for admission … Continue Reading →


OMIG Announces Updates to Its Compliance Library

On August 1st, the New York State Office of Medicaid Inspector General (OMIG) announced that it had updated the compliance library section of its website.  Specifically, OMIG has added the … Continue Reading →


OIG Issues Negative Advisory Opinion on Proposed Agreement To Offer GPO Members an Equity Interest in GPO Parent Corporation

On July 23rd, the U.S. Department of Health & Human Services, Office of Inspector General (OIG) posted Advisory Opinion 13-09, an unfavorable opinion in which the OIG concluded that a … Continue Reading →


OIG Launches Online Portal for Self-Disclosure Process

Earlier this month, the U.S. Department of Health & Human Services, Office of Inspector General (OIG) launched a new online submission process for the Self-Disclosure Protocol (SDP).  This new online … Continue Reading →


OIG Issues Negative Advisory Opinion Regarding Laboratory Service Agreement That Would Carve Out Federal Health Care Program Business

On June 13, 2013, the Department of Health and Human Services Office of the Inspector General for the Department of Health and Human Services (OIG) posted Advisory Opinion 13-03, a … Continue Reading →


CMS Revises Program Integrity Manual to Deny Provider Enrollment Applications When an Existing or Delinquent Overpayment Exists

On May 31, the Centers for Medicare & Medicaid Services (CMS) published Transmittal 469, which updates certain provisions of its Program Integrity Manual to expand its enforcement initiatives to combat … Continue Reading →


OIG Issues An Updated Special Advisory Bulletin on the Effect of Exclusion from Participation in Federal Health Care Programs

On May 8, 2013, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued an updated Special Advisory Bulletin on the effect of exclusion from participation … Continue Reading →