If you are negotiating a Corporate Integrity Agreement (CIA) on behalf of a client, you may need the services of an Independent Review Organization (IRO) to manage the ensuing work and make sure that you make the right business choices.  All IROs are not created equally. So, what do you need to know to select the IRO best suited to the situation? But what exactly is an IRO, and why is it so important? LW
The regulatory landscape for Medicare overpayments is evolving rapidly, and the risks for healthcare providers are growing — especially when it comes to repayments and potential liability under the False Claims Act (FCA). Our latest whitepaper, “Voluntary Medicare Extrapolated Overpayments: Legal and Compliance Considerations in 2025”, sheds light on what healthcare attorneys can do to guide their clients. Key Takeaways The clarified “knowledge” standard by the Centers for Medicare & Medicaid Services (CMS) that now
On September 29, 2025, a home health company in Arizona, agreed to pay $20,000 to settle allegations of violating the Civil Monetary Penalties Law (CMPL). The Office of Inspector General (OIG) alleged that the home health company employed an excluded individual—someone prohibited from participating in any Federal health care program—as a home health aide. The individual’s services were allegedly billed to these programs, triggering the violation. While $20,000 may seem modest in comparison to larger