Fraud

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.
A Department of Health and Human Services' Office of Inspector General proposal to change drug discount safe harbors under the federal anti-kickback statute would likely increase premiums for Medicare beneficiaries without addressing the nation's high and rising drug prices, the AHA said.
The AHA and Federation of American Hospitals today urged the U.S. Supreme Court to review a federal appeals court decision that allows False Claims Act whistleblowers to accuse a hospital or other defendant of fraud and proceed to discovery without articulating specific facts demonstrating the…
The House of Representatives yesterday approved legislation (H.R. 6690) that would establish a three-year pilot program to test using smart card technology to combat Medicare fraud and protect beneficiary identity.
The House Ways and Means Committee yesterday approved legislation that would establish a three-year pilot program to test using smart card technology to combat Medicare fraud and protect beneficiary identity.
RE: CMS-1720-NC, Request for Information Regarding the Physician Self-referral Law dl iconDownload the letter (PDF)  
AHA's comments on the Department of Health and Human Services Office of Inspector General’s (OIG) proposed rule that would extend the regulatory protections under the federal antikickback law for hospitals that want to provide assistance to physicians in adopting certain health information…