The Department of Health and Human Services Office of Inspector General, along with our state and federal law enforcement partners, participated in the largest health care fraud takedown in history in June 2018. More than 600 defendants in 58 federal districts were charged with participating in fraud schemes involving about $2 billion in losses to […]
Month: June 2018
Judge rules in favor of OCR and requires a Texas cancer center to pay $4.3 million in penalties for HIPAA violations
June 18, 2018 A U.S. Department of Health and Human Services Administrative Law Judge (ALJ) has ruled that The University of Texas MD Anderson Cancer Center (MD Anderson) violated the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy and Security Rules and granted summary judgment to the Office for Civil Rights (OCR) on […]
Feds don’t owe health insurers billions in ACA risk-corridor funds, appeals court rules
A federal appeals court on Thursday ruled that the U.S. government does not owe health insurers billions of dollars in unpaid risk-corridor funds meant to offset losses during the early years of the Affordable Care Act exchanges. Read full article here.
Oncologists sue HHS over Medicare Part B sequester cuts
Oncologists sued HHS Thursday over the continued 2% cuts to Medicare Part B drug reimbursements packed in the budget sequester, claiming Congress never gave HHS authority to change the reimbursement formula. Read full article here.