More Than 40% of Medicare Beneficiaries in Nursing Homes May Have Developed COVID-19 in 2020
OIG report confirms COVID-19’s devastating impact on Medicare beneficiaries in nursing homes. A study of Medicare claims data by the…
OIG Issues Semiannual Report
Key Points: $566.46 million in expected recoveries from audit results. $1.37 billion in expected investigative recoveries. 221 criminal actions. 272…
Hacking Incidents Skyrocketed During the COVID-19 Pandemic
Hacking Incidents Increased by 42 Percent A report by Protenus, Inc. indicates that that while hacking incidents in the health care industry…
Criminal Charges Related to COVID-19 Pandemic Brought Against Defendants Across the Country
Telemedicine Executive, Physician, Marketers, and Medical Business Owners Charged in Fraud Schemes Involving $143 Million in Losses. The Department of…
OIG Report Highlights Hospital Strains Caused by the Pandemic
The Department of Health and Human Services Office of Inspector General (OIG) recently conducted a “pulse survey,” consisting of brief…
Phishing Attacks Remain A Serious Compliance Threat
Key Points: Data breaches are on the rise. Tips for compliance officers to counter information security threats are included below.…
Medicaid Fraud Control Units: 2020 Results
Key Points: The OIG reported that MFCUs recovered more than $1 billion in Fiscal Year 2020. MFCUs evidenced a return on…
Subjects Sentenced in $150 Million Hospice Fraud Case
3 Categories of Hospice Fraud The three major categories of hospice fraud are: (1) false claims for unnecessary, improperly delivered,…
Evidencing a Culture of Compliance
Key Points: The 2020 Department of Justice (DOJ) Evaluation of Corporate Compliance Programs raises many questions related to the ability…
Chief Compliance Officer vs. General Counsel: How Should They Interact?
Major 2021 HCCA Program Topic One of the most discussed compliance issues is the contrast between the roles and authorities…
Evidencing Employee Understanding of Compliance Training
Key Points: Compliance officers are responsible for ensuring that all employees understand compliance requirements. Learning is hard, and forgetting is…
New FBI Internet Crime Report
Key Points: The report includes COVID-19 scam and state-level statistics. Tips for preventing attacks are included below. The Internet Crime…