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…
Compliance Investigations
The Department of Justice (DOJ) and Department of Health and Human Services Office of the Inspector General (OIG) stress the…
Documents That Support Effective Compliance Programs
Checklist of 21 Key Documents Reinforcement with key documents and metrics is key to an effective Compliance Program (CP). Any…
In 2021, Consider Meeting DOJ And OIG Guidance About Evidencing Compliance Culture
Key Points: OIG compliance guidance recommends evaluating all elements of a compliance program through employee surveys. Results of surveys early…
2021 OPPS and ASC Final Rule
The Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2021 Hospital Outpatient Prospective Payment System (OPPS)…
2021 Medicare Physician Fee Schedule Final Rule
The Centers for Medicare and Medicaid Services (CMS) has issued the final rule for the Calendar Year (CY) 2021 Medicare…
OIG Releases Final Rule on New and Amended Anti-Kickback Safe Harbors and CMP Exception
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently published a final rule to modify…
CMS Finalizes Changes to the Stark Law Regulations
Guest author Alexis Rose, JD provides insight and analysis on recently updated government regulations. The Centers for Medicare & Medicaid…
Regulatory Changes to Stark Law
The Centers for Medicare and Medicaid Services (CMS) announced regulatory changes to the Physician Self-Referral Law (“Stark Law”), which prohibits…
The Importance of Exit Interviews for Compliance Program
Conducting Effective Exit Interviews for Compliance Programs Exit Interviews can be useful, but only if done right. Many organizations have…
Investigative Records Management
Keep investigative records strictly controlled with access only on a “need to know” basis. An investigative record is any recorded…
DOJ Compliance Program Evaluations Present A Challenge For Compliance Officers
Key Points: In recent years, the U.S. Department of Justice (DOJ) has issued a series of policies designed to incentivize…