What's New

August 29, 2025

ACF Did Not Monitor States’ Compliance With All American Rescue Plan Child Care Stabilization Grant Provisions A-02-23-02007

August 28, 2025

Billing for Remote Patient Monitoring in Medicare OEI-02-23-00261

Most Health Centers Provide Some Behavioral Health Services to Patients With Substance Use Disorder, Despite Facing Challenges That Limit Comprehensive Treatment OEI-BL-22-00520

Enforcement Actions

August 28, 2025; U.S. Attorney's Office, Southern District of Texas

Home health agency owner sentenced to more than six years in Medicare fraud and identity theft scheme

August 27, 2025; U.S. Attorney's Office, Western District of Virginia

Danville Woman Sentenced for Health Care Fraud

August 27, 2025; U.S. Attorney's Office, Western District of Kentucky

Louisville Physician Agrees to Pay $250,000 to Settle False Claims Act Allegations

What's Trending

1. Work Plan Recently Added
2. Audit of Diagnosis Codes That MA Organizations Submitted to CMS for Use in Medicare Part C Risk-Adjustment Program
3. City of Fort Dodge Agreed to Pay $32,000 for Allegedly Violating the Civil Monetary Penalties Law by Submitting Claims for Services Provided by an Unlicensed Individual
4. White Paper: Fraud, Waste, and Abuse Related to Durable Medical Equipment in Medicare
5. Hospitals Reported Few Captured Patient Harm Events to CMS and States