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VA Consolidates Fraud Detection, Prevention, and Enforcement Efforts

Client Alert | 1 min read | 06.08.17

Continuing the Trump Administration’s focus on fraud, waste, and abuse, Veterans Affairs Secretary Dr. David Shulkin announced a program to consolidate fraud detection, prevention, and remediation efforts in VA administered programs. The program, called Seek to Prevent Fraud, Waste, and Abuse (STOP FWA), consolidates fraud prevention and remediation efforts within VA health, benefits, and cemeteries programs and is expected to partner with other federal agencies to leverage best practice in fraud prevention, detection, and enforcement. Information sharing among fraud detection and remediation programs has accelerated in recent years across the government, and contractors are well served to consider a holistic approach to investigating (and, if needed, disclosing) misconduct because it is increasingly likely that multiple government stakeholders will be interested in the outcome.

Insights

Client Alert | 5 min read | 04.23.26

CMS Proposes New Payment Policy for IOPOs and HCLs

In keeping with ongoing efforts to intensify regulatory oversight of organ procurement organizations (OPOs) and curtail improper spending within federal health programs, the Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would, among other adjustments, align Medicare payment policies for non-renal organs to be consistent with those currently applicable to kidneys. If enacted as drafted, this latest rule could have a direct impact on the financial stability of OPOs and histocompatibility laboratories (HCL) at a time when such organizations face increasing pressure to meet CMS’s new outcome measures — or else face non-renewal or decertification later this year. ...