Posted and filed under OIG Files.
Posted and filed under OIG Files.

OIG Files: The Importance of Quality Legal Representation

We provide a lot of advisory and consulting services for the legal community.  Our Former HHS-OIG Special Agents have that very niche experience in the ability to speak healthcare fraud, waste and abuse as well as legalese.  In working with the various law firms on criminal, civil and administrative matters, it becomes clear that having…

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Posted and filed under OIG Files.

OIG Files: A Disastrous Investigative Misstep

Recently, Advize Health was involved in a matter pertaining to some medical record audits and investigations that were ongoing with a Social Adult Day Care (SADC), located on the West Coast.  For a five year period, this SADC was the subject of audits, investigations and referrals made by the state Medicaid agency to the Medicaid…

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Posted and filed under OIG Files.

OIG Files: The Mixing Bowl of Medication

In 2012, the National Council on Prescription Drug Programs (NCPDP) made a change to the manner in which a compounded medication should be submitted to a Pharmacy Benefit Manager (PBM) for reimbursement.  Previously, the requirement was to only list the most expensive ingredient, with reimbursement being made based on that line item.  With the change,…

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Posted and filed under OIG Files.

Yes, Virginia, OIG Special Agents Carry Firearms

In previous articles, we have discussed some of the general law enforcement related activities that OIG Special Agents conduct; search warrants, arrests, HHS Secretarial Protection assignments and drug diversion investigations.  Even with all of that being said, people still wonder about instances when an OIG Agent might have had to otherwise exercise law enforcement authority. …

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