Showing posts with label HHS OIG. Show all posts
Showing posts with label HHS OIG. Show all posts
Friday, August 22, 2025

Providers with Larceny in Their Heart

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One of the biggest weeks of indictments, arrests, convictions, and sentencing in a long time, as announced by US HHS/OIG (Aug. 22):  Three ...
Saturday, December 07, 2024

HHS OIG and DOJ Publish 2023 Report on Fraud and Abuse Enforcement

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Unlike the proposed, scammy Department of Government Efficiency, whose billionaire leaders seem focused on slashing budgets and trimming enf...
Friday, November 29, 2024

Two New Enforcement Actions from Texas Attorney General

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As easy as it is to dislike Ken Paxton for his extravagantly disruptive policies on abortion and gender-affirming care for minors, his offic...
Thursday, October 17, 2024

Health Care Fraud: Texas Style

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On Oct. 15 a federal jury in Houston convicted  the owner of a firm that operated 14 pharmacies, on fifteen counts including conspiracy to c...
Friday, February 02, 2024

One Guy, $234 Million Medicare Fraud Scheme

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  With a name that could be right out of Dickens novel, Imran Shams puts most other health care fraudster to shame. What he lacks in imagina...
Wednesday, January 03, 2024

Four New Advisory Opinions from HHS-OIG

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On Jan. 3, HHS's Office of Inspector-General (OIG) released four new Advisory Opinions, all apparently finalized at the end of December:...
Tuesday, August 15, 2023

Health Insurers' Tactic Resurfaces With a Vengeance: Deny, Deny, Deny

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I once had a Health Law student who had been an HMO employee in a previous life. She was the one who answered the phone when a provider (hos...
Monday, July 17, 2023

Something Old, Something New (Hellacious Health Fraud (VI))

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  Here are a couple of recent cases that caught my eye. First, the old style of health care fraud: Evergreen Hospice, LLC (Evergreen), a hos...
Tuesday, July 11, 2023

New Advisory Opinion from HHS/OIG

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It's OIG Advisory Opinion No. 23-04 (Favorable)  (posted July 11), only the fourth AO issued this year, which makes it worth reading. It...