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CMS issues guidance on post PHE audits

The CMS Center for Program Integrity (CPI) posted an FAQ this week on their Spotlight page titled “Medicare Fee-for-Service Claims Review When the Public Health Emergency Ends”. From the post... Q. At the end of the Public Health Emergency...

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PHE Extended Another 90 Days

On Tuesday, April 12, 2022, HHS Secretary Xavier Becerra announced an extension of the COVID-19 Public Health Emergency (PHE). This extension will last another 90 days from April 16, 2022. Any PHE declaration can only last for 90 days at a time...

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DOJ recovered over $5.6 Billion in 2021 – Over $5B related to health care industry

On February 1, 2022, the Department of Justice (DOJ) announced on their website that they had obtained more than $5.6 billion in settlements and judgments from civil cases involving fraud and false claims against the government in the fiscal year ending...

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Provider Enrollment Activities to Resume

In this week’s MLN Matters Newsletter, CMS announced that, beginning October 2021, some provider enrollment activities that were paused during the COVID-19 public health emergency will resume, including: Application Fees  Criminal...

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