Ongoing Monitoring vs. Ongoing Auditing
Key Points Compliance guidance documents from the Department of Health and Human Services Office of Inspector General call for ongoing…
Evidencing a Culture of Compliance
Key Points: DOJ Guidelines stress the importance of evidencing a “Culture of Compliance” Less than one in five survey respondents…
Engaging Excluded Individual For Work Not Paid By Federal Healthcare Programs Would Not Be Grounds For Sanctioning
The Department of Health and Human Services Office of Inspector General (OIG) issued a new Advisory Opinion 22-11 in response…
Internal Reviews Are Not Independent Compliance Effectiveness Evaluations
Key Points: Results from the 2022 Health Care Compliance Benchmark Survey Internal reviews don’t provide credible evidence to outside authorities…
Most Health Care Organizations Report Having Recent Encounters With Regulatory Or Enforcement Agencies
Key Points: 2022 SAI360 – Strategic Management Compliance Benchmark Survey Results It is not a question of if there will…
Dental Practice Compliance Programs
Key Points: Dental fraud, as with other types of health care fraud, results in millions of dollars in fraudulent reimbursements…
Involve Others in Code Development, Revision, and Approval
The Code of Conduct (Code) is one of the foundational documents for any effective compliance program. Guidance from the United…
Defining Healthcare Compliance Experts
Key Points: Understanding the meaning of Compliance Experts is important Compliance Experts have taken on new meaning and significance with…
50 Questions to Ask When Assessing Physician Compliance Arrangements
The following is a list of questions Compliance Officers can use to assess compliance with legal requirements for physician arrangements.…
OCR Guidance on Defending Against Common Cyber-Attacks
The number of reportable breaches of unsecured electronic protected health information (ePHI) affecting more than 500 individuals increased 45 percent…
Set The Tone At The Top: Begin Your Code Of Conduct With A Cover Letter
The Code of Conduct (Code) is considered a critical core document for an organization’s compliance program. It should provide the…
Evidencing Compliance Education and Training Effectiveness
Compliance Program Guidance documents issued by the Department of Health and Human Services Office of Inspector General (OIG) call for…