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Fraud Prevention & Detection

 Fraud Alerts, Bulletins and Other Guidance
  
 

Fraud Alerts

Bulletins

Other Guidance

   

Fraud Alerts

    

2003

   

03/03/03

Special Fraud Alert: Telemarketing By Durable Medical Equipment Suppliers PDF

2000

   

02/23/00

Rental of Space in Physician Offices by Persons or Entities to Which Physicians Refer

1999

   

01/07/99

Physician Liability for Certifications in the Provision of Medical Equipment and Supplies and Home Health Services

1998

   

03/98

Fraud and Abuse in Nursing Home Arrangement With Hospices PDF

1996

   

06/17/96

Provision of Services in Nursing Facilities PDF

1995

   

08/10/95

Publication of 2 Special Fraud Alerts addressing:

Home Health Fraud
Medical Services to Nursing Homes

1994

   

12/19/94

Publication of 5 Special Fraud Alerts addressing:

Joint Venture Relationships
Routine Waiver of Part B Co-payments/Deductibles
Hospital Incentives to Referring Physicians
Prescription Drug Marketing Practices
Arrangements for the Provision of Clinical Lab Service

     
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Bulletins

    

Medicare

   

 

What Medicare Beneficiaries Need to Know About Health Maintenance Organizations 

 

Publication of the Medicare Advisory Bulletin on Hospice Benefits PDF

Special

   

04/23/03

Special Advisory Bulletin: Contractual Joint Ventures PDF

08/30/02

Special Advisory Bulletin: Offering Gifts and Other Inducements To Beneficiaries PDF

06/27/01

Special Advisory Bulletin: Practices of Business Consultants PDF

11/09/99

Special Advisory Bulletin: Patient Anti-Dumping Statute PDF

09/28/99

Special Advisory Bulletin: The Effect of Exclusion From Participation in Federal Health Care Programs
Press Release

07/08/99

Gainsharing Arrangements and CMPs for Hospital Payments to Physicians to Reduce or Limit Services to Beneficiaries

 

OIG letter regarding hospital-physician incentive plans for Medicare and Medicaid beneficiaries enrolled in managed care plans

 

Recent Commentary Distorts HHS IG's Gainsharing Bulletin

 

Solicitation of Comments on the OIG/HCFA Special Advisory Bulletin on the Patient Anti-Dumping Statute

     
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Other Guidance

    

2004

   

04/09/04

Education and Outreach Arrangements Between Medicare-Endorsed Discount Drug Card Sponsors and their Network Pharmacies PDF

03/31/04

OIG Alerts Physicians About Added Charges for Covered Services PDF

02/19/04

Hospital Discounts Offered To Patients Who Cannot Afford To Pay Their Hospital Bills PDF

 

Questions on Charges for the Uninsured: CMS Document

 

Text of Letter From Tommy G. Thompson, Secretary of Health and Human Services, To Richard J. Davidson, President, American Hospital Association Concerning Charges for the Uninsured

2003

   

04/08/03

OIG Warns Against Misuse of HHS Words, Symbols, Emblems PDF

01/16/03

OIG letter on hospital corporation's medical malpractice insurance assistance program PDF

2002

   

12/09/02

OIG letter clarifying the provision of complimentary local transportation for program beneficiaries PDF

2000

   

07/17/00

Up-front Rebates, Prebates and Signing Bonus Payments

04/26/00

Discount Arrangements Involving Clinical Labs

04/20/00

Discount Arrangements Involving Ambulance Companies, Hospitals and Skilled-Nursing Facilities

1999

   

12/13/99

Statement of Kevin McAnaney, Chief, Industry Guidance Branch, Office of Inspector General, before the Practicing Physicians Advisory Council

09/22/99

Discount Arrangements Between Clinical Labs and SNFs

03/16/99

Nephrologist - Home Dialysis Supplies Joint Venture

1997

   

10/02/97

Free services performed by clinical laboratories

08/04/97

Free prostate biopsy needles

07/10/97

Provisions of free goods and services

07/03/97

Free computers, facsimile machines and other goods

1993

   

11/02/93

Follow-up response to OIG's 12/22/92 letter

1992

   

12/22/92

Application of anti-kickback statute to the acquisition of physician practices (letter to IRS)

     
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