Search Results: independent
Effective Compliance for an Independent Charity Patient Assistance Program
Patient assistance programs (PAPs) provide financial assistance to eligible individuals who incur high drug bills. PAP organizations face heightened governmental…
Kusserow on Compliance: 2017: Time For Independent Compliance Program Effectiveness Evaluation?
Tom Herrmann, J.D., former executive in the Office of Counsel to the Inspector General, has been a compliance consultant for…
2016: Time for an Independent Compliance Program Evaluation? Alternative Methods and Best Practice Tips for Each Type of Evaluation
The DHHS OIG and other regulatory bodies have stressed the importance of evidencing Compliance Program (“CP”) effectiveness. The Compliance Officer,…
Independent Auditor (IA) Validation Process for Medicare Part C and D Program Audits
CMS has issued an updated memorandum mandating an Independent Auditor (IA) Validation Process for Medicare Advantage and Prescription Drug Plan…
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…
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…
Meeting the Challenge of Corporate Integrity Agreements and Independent Review Organizations
Introduction The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG),…
Independent Review Organizations: A Compliance Contract with the HHS Office of Inspector General
On April 12, Thomas Herrmann, a Strategic Management Vice President, held a joint presentation with Felicia Heimer, Senior Counsel, Office…
Independent Review Organization
Independent Review Organization Strategic Management provides independent review organization (IRO) services for entities that have entered into settlement agreements with…
CIA Compliance And Independent Review Organizations: Where to Start in the Selection Process?
The heightened focus on health care fraud, waste, and abuse continues to evolve and steadily climb given political and fiscal…
GAO Yellow Book Standards and Independent Review Organizations
The heightened focus on health care fraud, waste, and abuse at both the Federal and State levels in recent years…