Fraud Related Topics 
Healthcare Dive
DECEMBER 20, 2022
The Government Accountability Office is urging the CMS to resume certain eligibility checks on providers whom they consider at high risk of fraud to the Medicare program.
Healthcare Dive
DECEMBER 12, 2022
At least 10 organizations with records of healthcare fraud and abuse prior to 2021 participated in the direct contracting program last year despite CMS screening requirements, the letter said.
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Healthcare Dive
SEPTEMBER 9, 2022
A small proportion of providers that billed for telehealth — 1,714 out of 742,000 — posed a high risk of fraud or abuse to Medicare in COVID-19’s first year, regulators found.
Healthcare Dive
APRIL 24, 2023
It's the largest enforcement action against COVID-19 healthcare fraud schemes to date, according to regulators.
Speaker: Amy Anderson
Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. FACIS® helps organizations mitigate patient and organizational risk. Most healthcare organizations screen and monitor providers against the OIG but that’s only ONE of FACIS®’ primary sources.
Healthcare IT News - Telehealth
MARCH 1, 2021
Department of Health and Human Services' Office of Inspector General recognized telehealth's potential while cautioning that steps must be taken to ensure virtual care will not be compromised by fraud. Grimm in her statement also differentiated between telehealth fraud and "telefraud" schemes. THE LARGER TREND.
Hall Render
JANUARY 29, 2025
The Centers for Medicare & Medicaid Services (CMS) is reinforcing its emphasis on hospice quality of care and identifying fraud. CMSs Focus on Surveys and Fraud Identification The CMS Memo highlights the dual purpose of hospice surveys: Ensuring Compliance : Evaluating whether hospice providers meet CoPs.
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