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A practice management company risks disruptive investigations, bad publicity and costly settlements if it is accused of submitting fraudulent claims for a provider.
Just a few weeks after closing out a Request for Information on its No Surprises Act (NSA) rules, CMS has given anxious providers an early holiday gift: An extension of its enforcement discretion on the convening provider requirements that are part of the Good Faith Estimates (GFE) providers must create for patients.
An orthopedic surgeon had to pay back millions and was sentenced to years in prison in a case involving compounded drugs – a recurrent theme in recent DOJ health care prosecutions.
The Supreme Court turned away a challenge by 11 states to the HHS health care worker vaccine mandate, making an overturn of the staff vaccination requirement even more unlikely than before.   
 
The HHS Office of Inspector General issued a report on problematic telehealth billing and a call to build program integrity protections into any changes to Medicare telehealth rules.
 

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