While it generally complied with federal improper payment reporting requirements, the Department of Health and Human Services fell short in several key areas, according to an independent audit conducted by Ernst & Young LLP.
In a new "Eye on Enforcement" video, the Office of Inspector General warns physicians to be wary of taking payments from other providers, highlighting a kickback concern the government has targeted over the last several years.
Federal prosecutors are investigating contracts between three pharmaceutical companies and unnamed pharmacy-benefit managers, an indication the federal government is increasing its scrutiny of potential False Claims Act violations within the agreements, according to the Wall Street Journal.
Although the number of fraud and abuse investigations initiated by Medicare benefit integrity contractors declined between 2012 and 2013, contractors leaned heavily on predictive analytics to identify fraudulent billing, according to a report released by the Office of Inspector General.
Surgeons who have a financial interest in medical device companies are far more likely to perform certain surgeries, according to an updated report that calls for increased scrutiny of the financial arrangements on physician-owned distributorships by the Senate Finance Committee.