OIG Reviews Find Improper Documentation for Telemedicine Services
Key Points: The OIG is auditing state compliance with federal and state telemedicine requirements. An audit of South Carolina’s telemedicine…
DOJ Fraud Section Issues 2020 Report
The Fraud Section of the United States Department of Justice (DOJ) issued its 2020 Year in Review report. It notes that…
HHS OIG Speaks Out on Telehealth Fraud
Christi A. Grimm, the Principal Deputy Inspector General of the Department of Health and Human Services (HHS), issued a statement regarding telehealth…
Critical Written Guidance for Effective Compliance Programs
Both the Department of Health and Human Services (HHS) Office of the Inspector General (OIG) and Department of Justice (DOJ)…
Expedited Compliance Document Evaluation
Key Points Many seek the quickest and least expensive means to have their compliance programs evaluated. Common methods for independent…
Checklist for Addressing Ongoing Monitoring and Auditing
There remains considerable confusion among compliance officers regarding the proper management and ownership of monitoring and auditing functions. “Monitoring” is…
Should Compliance & Legal Be Separate? The Compliance and Legal Relationship
DOJ and OIG: Compliance should be separate and independent of legal counsel. A positive working relationship between the compliance officer…
Compliance Root Cause Analysis
DOJ Guidelines encourage seeking independent evidence of root cause identification and remediation. The Department of Justice (DOJ) has indicated that…
Nursing Home Compliance with Facility-Initiated Discharge Requirements
Compliance officers of skilled nursing facilities should include review of this compliance issue in their 2021 workplans. The Department of…
Standardizing Your Health Care Compliance Program Policies & Procedures can Lead to a More Effective Compliance Program
The Department of Health and Human Services Office of Inspector General (OIG) and the Department of Justice both have stressed…
2021: Time for Evidencing Compliance Program Evaluation?
Key Points: Full compliance program effectiveness evaluations. Compliance program gap analysis. Employee compliance knowledge or culture surveys. The Compliance Officer,…
Addressing and Investigating Conflicts of Interest
21 Tips for Compliance Officers Conflict of interest (COI) is a significant compliance risk area. The Department of Health and Human…