Search Results: arrangements
OIG Requires Independent Review Organizations (IROs) To Meet GAO Standards
A high percentage of the Corporate Integrity Agreements (CIAs) negotiated by the Department of Health and Human Services (HHS) Office…
OIG Report Reports On 2015 Unimplemented OIG Recommendation
The HHS OIG released the March 2015 Edition of the Compendium of Unimplemented Recommendations. The publication outlines the OIG’s fiscal year…
Where To Begin The Independent Review Organization (IRO) Review Process
The Office of Inspector General (OIG) has negotiated hundreds of Corporate Integrity Agreements (CIAs). Under a CIA, a provider or…
16 Tips In Compliance Co-Sourcing
Compliance Offices must contend with a host of competing external regulatory requirements and internal demands. In order to meet these…
Common Features Among Corporate Integrity Agreements
The rise in enforcement actions focused on health care fraud by the Department of Justice (DOJ) has led to an…
Do You Have The Right Policies And Procedures In Place?
Policies and procedures templates and other related compliance documents are the necessary foundation for a compliance program. These documents provide…
Corporate Integrity Agreement (CIA) Negotiation Tips
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) is currently monitoring over 300 active Corporate…
30 Tips and Ideas for 2015 Compliance Work Plans
30 Tips and Ideas for 2015 Compliance Work Plans 2015 begins, it is the right time to take stock of…
Hospital System Pays $85 Million for Violating the Stark Law
The Department of Justice (DOJ) recently announced that Halifax Hospital Medical Center and Halifax Staffing Inc. (collectively referred to as…
Elements Of An Effective Compliance Program – Written Policies And Procedures
The U.S. Department of Health and Human Services (HHS), Office of Inspector General (OIG) provides guidance to various healthcare providers…
CMS and OIG Issue Final Rules Revising the EHR Donation Stark Law Exception and Anti-Kickback Statute Safe Harbor.
The Centers for Medicare & Medicaid Services issued a final rule updating certain aspects of the electronic health records (EHR)…
Managed Care Advisory Services
Managed Care Industry Experience Strategic Management has been providing compliance-related services to health insurance plans and managed care organizations (MCOs)…