LEIE Updated with May 2021 Exclusions

What's New

June 11, 2021

Medicare Hospice Provider Compliance Audit: Professional Healthcare at Home, LLC A-09-18-03028

June 9, 2021

Opportunities Exist for CMS and Its Medicare Contractors To Strengthen Program Safeguards To Prevent and Detect Improper Payments for Drug Testing Services A-09-20-03017

Updated: Provider Self Disclosures

June 8, 2021

LEIE Database Updated with May 2021 Exclusions and Reinstatements

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Enforcement Actions

June 10, 2021; U.S. Attorney's Office, Western District of Texas

Healthcare Practitioners to Pay over $1 Million to Resolve False Claims Act Liability Arising from Billing of P-Stim Devices

June 10, 2021; U.S. Attorney's Office, District of Maryland

Associate Medical Director of Baltimore County Pain Management Practice Pleads Guilty to Accepting Kick-Backs

June 9, 2021; U.S. Attorney's Office, District of Massachusetts

Dominican National Sentenced for False Identity Crimes

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What's Trending

1. COVID-19 Fraud Alert
2. CMS Could Have Saved $192 Million by Targeting Home Health Claims for Review With Visits Slightly Above the Threshold That Triggers a Higher Medicare Payment
3. Medicare Improperly Paid Hospitals Millions of Dollars for Intensity-Modulated Radiation Therapy Planning Services
4. Audit of CARES Act Provider Relief Funds—Payments to Health Care Providers That Applied for General Distribution Under Phases 1, 2, and 3
5. Medicare Advantage Compliance Audit of Specific Diagnosis Codes That Anthem Community Insurance Company, Inc. (Contract H3655) Submitted to CMS