DOJ and OIG Reannouncement of the False Claims Act Working Group
Key Points: Last July, the Department of Justice (DOJ) and the Department of Health and Human Services (HHS) reannounced the…
Common HIPAA Mistakes and Steps to Prevent Them
As of May 21, 2024, the Department of Health and Human Services, Office for Civil Rights (OCR) has received over…
Key Risk Assessment Tools in Healthcare
Healthcare organizations today face unprecedented challenges that demand proactive risk management. From protecting patient data to ensuring operational continuity and…
Compliance Outputs Versus Outcomes
Key Points: Surveys by Strategic Management and SAI360 found that many compliance officers remain unclear as to the difference between…
Effective Compliance Education and Training Programs
An effective compliance training program must be well-structured and thoughtfully designed to help employees, leadership, and other stakeholders understand and…
Claims Processing Quality Assurance Programs
Key Points: Enforcement actions related to healthcare claims, especially those involving hospitals, are not only common but on the rise.…
Departing Compliance Officers: A Problem or an Opportunity?
Key Points: It has been nearly thirty years since the OIG began issuing the compliance program guidance, which resulted in…
The Difference Between a Compliance Gap Analysis and an Effectiveness Evaluation
Key Points: The Department of Justice and the Department of Health and Human Services Office of Inspector General both call…
Compliance Policy Management: A Comprehensive Guide for Healthcare Leaders
The average U.S. healthcare company is subject to 629 regulatory requirements across nine distinct domains.1 But how can you ensure…
Small Entity Compliance Programs
Most enforcement efforts involve small entities that lack compliance programs Both the Office of Inspector General (OIG) and the Department…
10 Steps to Becoming a Healthcare Compliance Consultant
Over the last thirty years, I have been frequently asked the question; “How can I move from being a compliance…
Corporate Compliance Root Cause Analysis
Guidance on conducting Root Cause Analysis The Department of Justice (DOJ), in its “Evaluation of Corporate Compliance Program Effectiveness”, emphasizes…