The following is a summary of the federal Department of Health and Human Services’ Office of Inspector General (OIG) reports of fraud and abuse enforcement activity across the country. The enforcement actions reported are based upon federal and individual states’ activity.

The summaries reflect areas of OIG’s and individual states’ current and recent enforcement activity. Knowing where regulators’ attention is focused can help healthcare providers identify areas of focus for compliance and risk assessment activities. Although not all the enforcement actions may be relevant to any one provider’s healthcare business, there may be some summaries that could be used as examples in compliance program education (“What to avoid”), or used in developing a risk management plan. (Note: An Acronym Key appears at the end of the Report.)

Of Note in this Issue:

1. New York’s Attorney General announced a settlement with a NY not-for-profit provider of services to people with developmental disabilities that fraudulently reported executive salaries and contractor fees on Medicaid cost reports when services related to Medicaid were not provided. The provider agrees to dissolution after it transfers its clients to other Medicaid providers and submits its final claims on or before 6/30/2023 (8/31).
2. Another state announced its settlement with Mallinckrodt related to Mallinckrodt’s failure to pass along drug rebates to Medicaid programs (8/17).
3. In a related failure to pass along discounts,...

Read Full Story: https://www.jdsupra.com/legalnews/oig-enforcement-summary-august-16-2022-9946...