Tag: fraud prevention

NAMPI 2021: Advancing Medicaid Program Integrity in the Current Environment
Along with approximately one-thousand state and federal Program Integrity professionals and experts, PCG’s Health team sponsored, attended and presented at the 2021 National Association of Medicaid Program Integrity (NAMPI) virtual ...

CMS Issues New Regulations to Enhance Program Integrity
The U.S. Department of Health and Human Services (HHS), Centers for Medicare and Medicaid Services (CMS), published a final rule in the September 10, 2019 Federal Register to implement program ...

Critical Incident Management Solutions in Medicaid Long-Term Care
Medicaid agencies must assure the health and safety of their Home & Community-Based Services (HCBS) waiver program recipients by managing the reporting, investigation, and prevention of incidents. Failure to do ...

The Government Accountability Office issues recommendations on fraud prevention
On December 5, 2017, the Government Accountability Office (GAO) issued a a report on Centers for Medicare and Medicaid Services (CMS) fraud prevention efforts, recommending that CMS more closely align its ...

Health Policy News January 2018
As we enter this new year, and our third year publishing and distributing Health Policy News, we want to thank you all for continuing to support Health Policy News as a source for ...