Office of the Inspector General (OIG)

Ridesharing poses potential fraud, abuse risks
Mar 20 | Jeff Lagasse
It's crucial that providers monitor civil monetary penalties law and anti-statute…
scripps whistleblower lawsuit
Jan 22 | Beth Jones Sanborn
A whistleblower lawsuit was originally filed by a former Scripps employee about…
Payers focus on digital tools for member engagement
Dec 26, 2017 | Jonah Comstock
Q4 saw some big moves from CMS with partnerships to enhance employee wellness programs.
Physician groups slapped with $33M settlement over alleged kickback scheme
Dec 19, 2017 | Beth Jones Sanborn
Dallas-based EmCare, Pennsylvania-based Physicians' Alliance Ltd named in whistleblower lawsuits over…
HHS approves pilot for MA access to patient discharge records
Dec 12, 2017 | Susan Morse
The department shared details about the initiative but redacted names of key participants.
Dec 01, 2017 | Beth Jones Sanborn
DOJ spokesperson said penalty could have been much higher if hospital had not fully cooperated…
Nov 27, 2017 | Jeff Lagasse
Hospitals and other providers spend nearly $39 billion a year solely on the administrative activities associated with…
Nov 27, 2017 | Melissa Bailey, Kaiser Health News
One patient got a $3,660 bill for a 4-mile ride. Another was charged $8,460 for a trip from one hospital that could not handle his case to…
Veterans Affairs’ Secretary David Shulkin
Oct 17, 2017 | Jessica Davis
The much-liked holdover from the Obama administration is a top contender to fill the position abruptly left vacant by Tom…
AHA: CMS hospital compliance reviews have “serious problems”
Oct 06, 2017 | Beth Jones Sanborn
Group's general counsel says OIG's understanding and application of Medicare rules are flawed.