Why Physician Practices and Small Entities Outsource the Compliance Program
Key Points: Physician practices and smaller health care providers often outsource the Compliance Officer function as a means to gain…
DOJ Voluntary Self Disclosure 2023 Update
Tips for Compliance Officers The DOJ has released its new Voluntary Self-Disclosure (VSD) Policy on how U.S Attorneys will determine…
Smaller Organization Compliance Programs
Key Points: Most larger healthcare organizations have established Compliance Programs with employee Compliance Officers and staff. They can afford in-house…
Board Member Compliance Literacy
Key Points: The role of a board member is largely one of being an advisor to management and holding them…
Evidencing Compliance Culture
Stressed by DOJ and USSC Evidencing a culture of compliance is cited in the U.S. Sentencing Commission’s “Organizational Sentencing Guidelines,”…
HIPAA Supplemental Support
Key Points: Healthcare organizations are often faced with the challenge of complying with the HIPAA Privacy and Security Rules. The…
Five Guiding Principles and Twenty-Six Tips for Effective Witness Interviews
The interviews, by definition, are conversations with a purpose, and there are five guiding principles for conducting effective witness interviews…
Corporate Integrity Agreements Provide Insight Into Compliance Priorities
CIA terms pinpoint OIG compliance priorities At any given time, over 300 OIG CIAs are in force, with more being…
OCR Returning to Stricter Enforcement with End of the Public Health Emergency
Key Points: The Office for Civil Rights (OCR) announced with the end of the COVID-19 Public Health Emergency (PHE), that…
Defending Overpayment Demands
Key Points: The HHS OIG depends on statistical sampling to gather the necessary supporting documentation for determining the error rates…
19 Compliance Investigation Guiding Principles
Proper Prior Planning Prevents Poor Performance Both the OIG and DOJ stress the importance of Compliance Officers being able to…
New Compliance Guidance for Home Dialysis Provided at SNFs and LTCs
Actions Compliance Officers should consider in response to these changes. CMS has updated its 2018 guidance for home dialysis services…