Fraud
The AHA today responded to a Centers for Medicare & Medicaid Services request for information on its Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH, initiative. The RFI seeks stakeholder feedback on potential regulatory changes that might be included in a potential…
AHA responds to CMS RFI on regulations to combat fraud, waste and abuse (CRUSH).
The Centers for Medicare & Medicaid Services Feb. 25 released a request for information on potential regulatory changes in a possible future proposed rule called Comprehensive Regulations to Uncover Suspicious Healthcare, or CRUSH.
It is imperative that policymakers understand that Paragon developed their allegations of large-scale “fraud” in health care using inaccurate data, dubious assumptions, and an apparent lack of understanding of how health insurance actually works.
The Departments of Justice and Health and Human Services today announced the creation of the DOJ-HHS False Claims Act Working Group to combat health care fraud.
The Centers for Medicare & Medicaid Services today announced it has identified a fraud scheme targeting Medicare providers and suppliers.
AHA's comments on CMS' proposed rule to mitigate the impact of significant, anomalous and highly suspect (SAHS) billing activity within the Medicare Shared Savings Program (MSSP) in calendar year (CY) 2023.
The FBI Atlanta Field Office, in coordination with the Office of Private Sector, prepared this Liaison Information Report (LIR) to inform medical professionals and healthcare sector members in the Atlanta Area of Responsibility regarding a scheme where criminal actors called licensed medical…
AHA comments on the proposed rule on grants, contracts, and other agreements: fraud and abuse; information blocking; Office of Inspector General’s (OIG) civil money penalty (CMP) rules.
Whistleblowers who file a lawsuit within three years of reporting an alleged fraud to a responsible government official may have up to 10 years after the alleged fraud occurred to file a lawsuit.