GAO Data Breach Reporting Survey
In response to a congressional request, the Government Accountability Office (GAO) launched a survey of health care entities and business…
DOJ Summarizes 2021 Settlements and Judgements
Key Points in DOJ Summarizes 2021 Settlements and Judgements Over $5.6 Billion False Claims Act Settlements Vast majority of cases…
Compliance Self Evaluations Are Useful But Lack External Effectiveness Credibility
Key Points: Ongoing compliance program monitoring is not an independent evaluation Only independent evaluations are likely to be credible to…
What Compliance Officers Should Do When DOJ or OIG Enforcement Is Imminent
What Organizations Should ExpectWhat Steps to Take Before Settlement When organizations become aware they are the subject of an impending…
Top Compliance Issues In 2022
The 2021 Compliance Benchmark Survey of Compliance Offices conducted by Strategic Management Services and SAI Global found that the top…
Scarcity Of Compliance Officers May Be A COVID Side Effect
Key Points: Experienced compliance officers may be hard to find at present. Few organizations can afford risking lengthy compliance officer…
OIG Finds That Many Medicare Beneficiaries With Opioid Use Disorder Did Not Receive Treatment
Opioid-related overdose deaths in the United States reached an all-time high in 2020. The COVID-19 pandemic has had a negative…
OIG Reports That $4 Billion Dollars Could Be Saved Based Upon Its Findings and Recommendations
The Department of Health and Human Services Office of the Inspector General (OIG) issued the Fall 2021 Semiannual Report to Congress…
Reminder: Nursing Facility Compliance Programs Are Mandated
Key Points: Emergence from the pandemic will bring back enforcement of the mandates. All facilities must review their compliance and…
Can a CEO Also Serve as a Compliance Officer?
Chief Executive Officers (CEOs) occasionally consider taking on the additional role of the compliance officer for their organization. While the…
Claims Compliance & Processing: Understanding the High-Risk Area
Key Points: Claims development and submission was highlighted as a primary compliance high-risk area by the Department of Health and Human…
Documentary Pillars to Support Effective Compliance Programs
Twenty Key Documents. Both the Department of Health and Human Services Office of the Inspector General (OIG) and Department of…