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…
PATH is Still a High-Risk Compliance Area
Tips for compliance officers to consider. Earlier this year, a medical practice associated with a children’s hospital agreed to pay…
Board-Level Compliance Literacy
Compliance officers should educate their organizations’ boards of directors about the importance of compliance literacy. Enforcement entities have little patience…
Outsourcing Compliance Programs
Key Points: A trend of outsourcing certain compliance functions has been strongly apparent. Outsourcing to an Interim Compliance Officer is…
Traits of Effective Healthcare Compliance Officers
Characteristics and Tips Industry guidance frequently calls for compliance officers to be effective. In the original Compliance Program Guidance for Hospitals,…
After Two Years of COVID-19 Crisis Management, Why Will 2022 Be the Right Time for a Compliance Program Evaluation?
Key Points: As health care organizations emerge from crisis management, leadership should consider refocusing on compliance. It is time to…
The Eight “Ps” for Effective Compliance Investigations
The following are eight guidelines to prevent poor outcomes when conducting compliance investigations. Policies. Developing and implementing written policies and procedures…
Opportunities for Oversight of Telehealth for Behavioral Health Services
States are not analyzing how telehealth affects behavioral health services nor monitoring for fraud, waste, and abuse. The results of…