YouCompli

MARCH 22, 2023

There has been significant enforcement over the last couple years relating to overpayments for UDT. Department of Health and Human Services Office of Inspector General (OIG) has expressed concerns about UDT billing. The overpayment rate for definitive drug testing for 22 or more drug classes was over 71%.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Health Law Advisor

AUGUST 25, 2023

These regulations were proposed to implement portions of the New York State 2020-2021 Budget Bill amending the mandatory compliance program requirements. The regulations were finalized in December 2022, with an effective date of March 28, 2023, and an enforcement moratorium that has just ended.

Compliance 52

Compliance Overpayments Overpayment Compliance Officers 52

Healthcare Law Blog

FEBRUARY 3, 2023

New Subpart 521-1: Compliance Programs The adopted regulations represent substantial changes to 18 N.Y.C.R.R. Part 521 governing the implementation and operation of effective compliance programs for certain “required providers,” including, now for the first time, Medicaid managed care organizations (MMCOs). [1]

Medicaid 52

Medicaid Medicaid Compliance Overpayments 52

C&M Health Law

DECEMBER 18, 2023

The Office of the Inspector General (OIG) of the U.S. Department of Health and Human Services (HHS) published the General Compliance Program Guidance (GCPG) on November 6, 2023. The GCPG provides updated descriptions of the seven elements of an effective compliance program that health care entities have long relied upon.

Compliance 52

Compliance Compliance Officers Governance Overpayments 52

Health Law RX

JANUARY 30, 2024

A failure to maintain an effective compliance program may become particularly problematic for companies with business transactions on the horizon as the government increasingly incentivizes business professionals to give compliance a seat at the deal table. Ensure Ongoing Compliance.

Compliance 52

Compliance Due Diligence Fraud Governance 52