DOJ Revises Justice Manual to Strengthen False Claims Act Enforcement
On September 18, 2026, the Department of Justice (DOJ) revised its Justice Manual to clarify enforcement under the False Claims…
CMS Gains Direct Permissive Exclusion Authority as Data-Driven Enforcement Expands
Suggested actions for Compliance Officers CMS has gained a more direct enforcement tool against fraud, waste, and abuse. Effective October…
DOJ Corporate Fraud Enforcement Directive: Healthcare Compliance Priorities
The U.S. Department of Justice (DOJ) directive Corporate Enforcement in the Fight Against Fraud, released on October 1, 2026, signals…
Why Every New Compliance Officer Should Request a Compliance Program Assessment
A new compliance officer should request a compliance program assessment to establish an objective baseline of inherited risks, gaps, and…
OIG Calls Upon CMS To Strengthen DMEPOS Fraud Prevention
Compliance Officers Recommended Actions Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) fraud remains a costly challenge for Medicare, draining…
Mock Compliance Audits
Organizations face complex regulatory and legal requirements in today’s highly regulated, ever-changing healthcare environment. They may fall short of what…
The DOJ’s New National Fraud Enforcement Division Priorities
The new Department of Justice (DOJ) National Fraud Enforcement Division (NFED) has a staff of more than 500 attorneys dedicated…
Compliance Risk Assessment Framework (RAF): A Step-by-Step Guide for 2026
Every healthcare organization understands the importance of risk management, but most do not have a solid foundation for their programs.…
The DOJ Declination Sends a Clear Message That Voluntary Self-Disclosures Can Change the Outcome of a Criminal Investigation
On July 29, 2026, the Department of Justice (DOJ) announced that it had resolved a criminal health care fraud investigation…
Who Should Run Your HIPAA Privacy Evaluation: Law Firm, Consulting Firm, or Privacy Specialist?
A HIPAA privacy evaluation is an intensive review of how an organization handles protected health information (PHI). It requires assessing…
On Call HIPAA Consultants Can Be A Smart Investment
The Challenge of Fluctuating HIPAA Workloads Health Insurance Portability and Accountability Act of 1996 (HIPAA) compliance has become increasingly complex,…
Recent HIPAA Enforcement Trends and Compliance Considerations
The U.S. Department of Health and Human Services Office for Civil Rights (OCR) continues to actively enforce the Health Insurance…