Monitoring and Auditing Methods for Effective Compliance: Best Practices for Leaders
A continuing major challenge for Compliance Officers is how to address ongoing auditing and monitoring of high-risk areas. The OIG…
Compliance Risk Area: Arrangements With Referral Sources
Key Points: Improper arrangements with referral sources represent the vast majority of enforcement actions by the Health and Human Services…
Ten Steps for Conducting EMTALA Risk Assessments
The Emergency Medical Treatment and Labor Act (EMTALA) is a federal law designed to ensure public access to emergency medical…
Medicare Secondary Payer Compliance as a High-Risk Area
Key Points: Medicare Secondary Payer (MSP) is under a law created in 1980, that creates a legal requirement where Medicare…
Be Prepared for Unexpected Increases in Workloads
For Compliance Officers, being prepared to address unexpected increases in workload can be a real challenge. One effective way to…
Guidance for Compliance Officers Assuming Responsibility for HIPAA Privacy
Key Points: General Background. The Health Insurance Portability and Accountability Act (HIPAA) created an outline of an organization’s legal obligations…
HIPAA Security Risk Assessments Need Specialized Expertise
By Guest Author Josh Boxer Key Points: Healthcare organizations face an increasingly complex cybersecurity landscape with pressure to demonstrate compliance…
Time To Plan A Third-Party Compliance Program Evaluation For 2026
Compliance Program Effectiveness Evaluations are emphasized in the Department of Health and Human Services (HHS) Office of Inspector General’s (OIG)…
Healthcare Data Privacy and Security: Avoiding Costly Mistakes in 2026
As healthcare organizations embrace digital innovation, the risks to healthcare data privacy have grown significantly. In 2024, the average cost…
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…