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DOJ Continues Its Crackdown on Clinical Laboratory Fraud
Remember to register for the complimentary SAI Global Webinar on “Evidencing Compliance Program Effectiveness (sai360.com),” which will be held on…
Choosing the Right Independent Review Organization
The Department of Health and Human Services Office of Inspector General (OIG) negotiates Corporate Integrity Agreements (CIAs) with health care…
DOJ Summarizes 2021 Settlements and Judgements
Key Points in DOJ Summarizes 2021 Settlements and Judgements Over $5.6 Billion False Claims Act Settlements Vast majority of cases…
Top Compliance Issues In 2022
The 2021 Compliance Benchmark Survey of Compliance Offices conducted by Strategic Management Services and SAI Global found that the top…
Checklist for Addressing Ongoing Monitoring and Auditing
There remains considerable confusion among compliance officers regarding the proper management and ownership of monitoring and auditing functions. “Monitoring” is…
OIG Releases Final Rule on New and Amended Anti-Kickback Safe Harbors and CMP Exception
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently published a final rule to modify…
CMS Finalizes Changes to the Stark Law Regulations
Guest author Alexis Rose, JD provides insight and analysis on recently updated government regulations. The Centers for Medicare & Medicaid…
Regulatory Changes to Stark Law
The Centers for Medicare and Medicaid Services (CMS) announced regulatory changes to the Physician Self-Referral Law (“Stark Law”), which prohibits…
$50 Million Anti-Kickback and Stark Law Settlement
Key Points: Physician Arrangements continue to be the highest enforcement priority for the DOJ and OIG “Whistleblower” to receive $10,000,000…
2020 Top Three Compliance Officer Priorities
The following are results from the report for the 2020 SAI Global Healthcare Compliance Benchmark Survey (Survey) developed with, and…
Extend and Economize Through Co-Sourcing
Key Points: 2020 Survey: Most Compliance Officers co-source some services Co-sourcing is often less costly than doing tasks internally Eight…
Claims Processing Ongoing Monitoring and Auditing
Key Points: Claims processing is the third highest priority for Compliance Officers. The key to effectiveness is a Quality Assurance…