Fraud and Abuse

Our LeadingAge legal team offers analyses of regulations, case law and legislative developments regarding fraud and abuse issues.


  1. Healthcare Compliance Resource Guide Now Available

    The guide is designed to provide organizations with a host of ideas as to what and how to measure the effectiveness of all seven elements of a compliance plan. The guide, therefore, allows providers to select the ideas that work best for their particular program. Both OIG and HCCA cautioned that the guide is not intended to be ...

  2. DOJ Issues New Corporate Compliance Guidance

  3. Final Overpayment Rule Delayed by CMS Until 2016

    The Centers for Medicare and Medicaid Services announced that it would be delaying until Feb. 16, 2016, publication of a final rule governing the reporting and returning of Medicare overpayments.   The rule is in response Section 6402(a) of the Affordable Care Act, which established a new section 1128J(d) of the Social ...

  4. New Medicare Provider Enrollment Regulation Now in Effect

    A final rule promulgated by the Centers for Medicare and Medicaid Services (CMS) that seeks to strengthen Medicare program integrity by restricting provider enrollment and facilitating provider revocation of billing privileges under certain circumstances became effective on Feb. 3, 2015. The final rule provides that enrollment ...

  5. New Medicaid Documentation Toolkit Released By CMS

    Included in the toolkit are a video presentation, study guide, and fact sheets Your Medical Documentation Matters (presentation)