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Health Care Fraud Report

BNA’s Health Care Fraud Report™ is the go-to source for health care fraud reporting, with in-depth information on government and private enforcement actions and strategies designed to fight fraud and abuse.

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OVERVIEW

Protect your company or clients with inside information on a variety of current fraud and abuse topics, complete with expert analysis.


EXPERT NEWS & COMMENTARY

Track the latest news on pertinent legislative, regulatory, and legal developments at federal and state level, as well as policy changes in the private sector. Follow the latest U.S. Deparment of Health and Human Services (HHS) Office of Inspector General (OIG) Advisory Opinions, fraud alerts, Special Advisory Bulletins, investigations, rules, audit reports, and compliance guidance documents.

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TRUSTED LEGAL ANALYSIS

Gain insights from analysis and perspective pieces by recognized experts and other special reports within the fastest growing legal specialties.


POWERFUL RESEARCH FEATURES

Access significant documents, including enforcement actions by state insurance departments, and consult original language to form your own interpretations with the right amount of data and detail on health care fraud and abuse — all in just one manageable, well-organized source.


SPECIFICATIONS

Product Structure 

Notification: current reports providing news and developments

Formats and Frequency

Print and Web notification formats are issued and available bi-weekly. Print current reports are indexed every six months, culminating annually. Web current reports are archived to 01.15.1997. 

Email summaries, providing the highlights and table of contents for each report, with URLs to full-text articles and documents are also available.


RECENT HEADLINES

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CMS Delays Publishing Final Rule On Repaying Medicare Overpayments
February 18
Budget Proposal Seeks to Reduce Appeals Backlog; Hospital Groups Say More Needed
February 18
Rule Includes OIG Recommendations On Disenrolling Ineligible Plan Enrollees
February 18
Medicare, Medicaid Remain Among Government's High-Risk Programs
February 18
Fraudulent Overbilling Cost $272B in 2014; Health Plans Should Weigh Anti-Fraud Tactics
February 18
Lawmakers Split Over Merits of ICD-10 Implementation, Impact on Health Industry
February 18
Medicare Has Made Progress on ICD-10 Transition, Readiness, GAO Report Says
February 18
OIG Says No Sanctions for Providing Free Items in Maternal Health Program
February 18
ACO Proposal Wouldn't Benefit Patients, Advocacy Group Says
February 18
OIG Audit: N.Y. Could Have Saved $8.9M On Medicaid if State Used Competitive Bids
February 18
OIG Report Outlines Corrective Steps From OIS Review of New Mexico Fraud Unit
February 18
Federal Agencies in Connecticut Form Public Corruption Task Force
February 18
Iowa Home Health Company Pays $5.6M to Resolve False Billings Case
February 18
Excluded Provider May Receive Payments For Services Prior to Exclusion, OIG Says
February 18
AstraZeneca Pays $7.9M to Resolve Pharmacy Benefit Kickback Allegations
February 18
Medtronic to Pay $2.8 Million to Settle Whistle-Blower Lawsuit on Spinal Treatment
February 18
Florida Hospital Seeks High Court Review Of Decision That Upheld Damages Award
February 18
Home Health Provider Can Sue Billing Company Over Denied Claims
February 18
Court Strikes Several of Drug Company's FCA Defenses in Medicaid Fraud Case
February 18
Tennessee Hospital Pays $40,000 To Settle Alleged EMTALA Violation
February 18
Physician and Fiancée to Face Kickback Charges Over Spinal Implants
February 18
Testosterone Replacement Therapy Maker To Pay $1.6M in Medicare Fraud Settlement
February 18
U.S. Bars Firms, Execs From Distributing Adulterated, Misbranded Cardio Devices
February 18
7th Cir. Affirms Physician's Conviction For Home Health Referral Kickbacks
February 18
Chicago Psychiatrist Pleads Guilty To Accepting Kickbacks From Drug Firms
February 18
Federal Court Rejects Retaliation Claims Of Employed Hospitalist Under FCA, EMTALA
February 18
Ambulance Company Owner Pleads Guilty in Fraud Scheme
February 18
Couple Convicted in Multi-Million Dollar Health-Care Fraud Scheme
February 18
Texas Medical Supply Company Owner Gets 87 Months for Wheelchair Fraud
February 18
New York City HR Employee Sentenced To 63 Months in Medicaid Check Scheme
February 18
New Jersey Doctor Admits to Role In $100 Million Lab Kickback Case
February 18
Device Maker Pays $1.25 Million To Settle Lawsuit Over Medicare Billing
February 18
Oklahoma Hospice Provider to Pay $4 Million to Settle False Claims Allegations
February 18
Home Health Owner, Recruiter Sentenced In $6 Million Medicare Scam in Miami
February 18
Florida Doctor Accused of Faking Diagnoses for MA Higher Capitation Rates
February 18
Clinic Owners Sentenced for Fake Prescriptions in $8.5M Home Health Scam
February 18
Miami Home Health Owner Pleads Guilty in $6.9 Million Medicare Scam
February 18
Jury Convicts Unlicensed Physician Said To Be Part of $4.7M Medicare Fraud Scheme
February 18
Two Michigan Doctors Plead Guilty To Narcotics, Health Fraud Charges
February 18
Court Rejects Challenge to DAB Refusal To Accept Untimely Overpayment Appeal
February 18
Ambulance Company Manager Sentenced For $5.5 Million Medicare Fraud Scheme
February 18
Appellate Division Affirms ALJ Decision Holding Hospital Ineligible for CAH Status
February 18
ALJ Affirms Revocation of Supplier's Billing Privileges Over On-Site Inspection
February 18
Four Texans Arrested for Conspiring To Commit Health Care Fraud, Money Laundering
February 18
California Regulators Fine 10 Hospitals A Total of $700,000 for Harmful Errors
February 18
Conviction of Iowa Provider Affirmed For Falsifying Care Records to Medicaid
February 18
California Surgical Center May Not Enforce Alleged Oral Contract With Insurance Carrier
February 18
List of HHS OIG Audit and Inspection Reports
February 18
HHS OIG Program Exclusions
February 18
New CMS Enrollment and Revocation Regulations: Are We Charting the Unknown?
February 18
CONFERENCES
February 18
CMS Administrator Tavenner Will Leave Post in February
January 21
CMS Should Reduce Incentives for Hospices Targeting Assisted Living Facilities, OIG Says
January 21
Medicare Incorrectly Paid $4.6M To Hospitals for Clinic Visits, OIG Says
January 21
Award of DME Recovery Audit Contract Leads to Protest From Another RAC
January 21
CMS Imposes $164,600 Penalty On Oregon Medicare Plan After Audit
January 21
High Court Skeptical of Perpetual FCA Tolling Amid Sharp Questions to Relator's Counsel
January 21
Alleged Rx Kickback Scheme Defendants Win Slight Victory on Public Disclosure Issue
January 21
FCA Action Against Pharmacy Survives On Discount Drug Overbilling Allegations
January 21
District Court in California Denies Motion To Dismiss in False Claims Retaliation Case
January 21
Five States Complete $22.5 Million Settlement, as Part of Larger DaVita Deal
January 21
Daiichi Sankyo Settles Lawsuit Alleging Illegal Physician Kickbacks
January 21
Third Circuit Says Medical Director In ‘Position of Trust' for Sentencing
January 21
Miami Home Health Agency Owner Pleads Guilty in Medicare Scheme
January 21
Court Grants Preliminary Approval of Plan To Reorganize Nursing Home in Bankruptcy
January 21
Drug Company to Pay $2.1 Million To Resolve NIH Contract Allegations
January 21
Federal Court Rejects FCA as Basis for Claim For Damages From Health System for Breach
January 21
Medical College Pays $840,000 To Settle Improper Billing Allegations
January 21
Physician Owners of Mental Health Clinic Sentenced in $97M Medicare Fraud Scheme
January 21
Missouri Podiatrist Pleads Guilty To Submitting Fraudulent Claims
January 21
Home Health Care Agency Owner, Spouse Sentenced for $1.5M Medicaid Fraud
January 21
Court Rejects Gilead FCA Case Based on FDA Drug Quality Violations
January 21
Urgent Care Company Settles FCA Lawsuits, Agrees to Restrict Services
January 21
Michigan Physician Sentenced to 15 Months In $2.1 Million Medicare Fraud Case
January 21
Humana Will Pay $162K to Resolve Missouri Insurance Enforcement Action
January 21
New York Physicians to Refund Patient Copays Due to Claims Processing Error
January 21
New York Medicaid Program Overpaid $1M In Pharmacy Claims, State Comptroller Says
January 21
Listing
January 21
List of HHS OIG Audit and Inspection Reports
January 21
Compliance Corner: Long-Term Care and the OIG Work Plan: As HHS Sharpens its Focus, Providers Should Set Their Sights on Compliance
January 21
CONFERENCES
January 21