FR: Inspector General Office, Health and Human Services Department

Medicare Fraud and Abuse: Request for Information on Anti-Kickback Statute

The Office of the Inspector General for the Health and Human Services Department has issued a Request for Information regarding the Federal Anti-Kickback Statute and Beneficiary Inducements Civil Monetary Penalties. This consultation seeks public input on potential updates and clarifications to existing fraud and abuse provisions.

Health Care Programs: Fraud and Abuse Exclusion Authorities Revisions

The Office of Inspector General (OIG) at HHS has issued a proposed rule to revise its fraud and abuse exclusion authorities. This proposed rule aims to update the criteria and processes by which individuals and entities can be excluded from participating in Federal health care programs.

HHS OIG Solicitation for Safe Harbors and Fraud Alerts

The Department of Health and Human Services Office of Inspector General (HHS OIG) is soliciting proposals for new and modified safe harbors and special fraud alerts under the Medicare fraud and abuse provisions. This action aims to update existing protections and identify new areas of concern for healthcare providers.

Performance Standards for Medicaid Fraud Control Units

The Office of Inspector General (OIG) within the Department of Health and Human Services has issued final performance standards for Medicaid Fraud Control Units (MFCUs). These standards, effective upon publication, aim to enhance the effectiveness of MFCUs in combating Medicaid fraud, waste, and abuse.

HHS OIG Delays Effective Date of Rule Consistent With Moratorium

The Department of Health and Human Services Office of Inspector General (HHS OIG) has delayed the effective date of certain provisions within 42 CFR 1001.952(h) and (cc). This action aligns with a congressionally enacted moratorium, impacting specific healthcare arrangements.