Fraud
The Department of Health and Human Services and the Department of Justice Oct. 22 announced a six-month anti-fraud healthcare self-disclosure pilot program for companies that voluntarily disclose potential civil violations of the False Claims Act.
The Department of Homeland Security (DHS) Oct. 8 released a proposed rule that would establish new fees for schools recommending F-1 nonimmigrant students for Optional Practical Training (OPT). Under the proposal, schools would pay a $70,000 fee before making an initial OPT recommendation for a…
The AHA Aug. 31 joined a coalition led by LeadingAge and other national healthcare organizations in submitting comments to the Centers for Medicare & Medicaid Services’ Medicare provider enrollment provisions of the calendar year 2027 home health prospective payment system proposed rule.
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.