Chief Legal Officer vs. General Counsel: Compliance Roles in Healthcare
Healthcare compliance is complicated enough without constant confusion about specific roles and responsibilities. But many organizations still struggle to make…
Updated OIG Guidance Expands Compliance Accountability for Nursing Facility Leadership and Investors
In November 2024, the OIG’s updated compliance program guidance for nursing facilities marked a significant shift in how federal authorities…
DOJ Reports 2024 Settlements and Judgements of $2.9B
Key Points: DOJ reported settlements and judgments under the False Claims Act that exceeded $2.9 billion in 558 cases during…
OIG Reports OCR Weaknesses in HIPAA Privacy Oversight
The 2024 Compliance Benchmark Survey found that healthcare providers were many times more likely to have encounters with the Office…
Compliance Privacy and Code of Conduct: Reviewing and Updating
What is the Code of Conduct in Healthcare? As a foundational document for an effective compliance program, the Code of…
Benchmarking Compliance Programs
Key Points: The OIG and other regulatory authorities frequently cite Compliance benchmarking as important in evidencing compliance program effectiveness. The…
Compliance Programs for Small Healthcare Entities
Key Points: All healthcare organizations, large and small, are expected to have a compliance program that meets the seven standard…
Physician Arrangements Fair Market Value (FMV)
The ongoing and increasing enforcement actions related to arrangements with referral sources require Compliance Officers to pay close attention to…
A Guide to Choosing the Right Compliance Consultant
Selecting the right consultant with the needed expertise and cultural alignment. When seeking a consultant’s help to address compliance challenges…
Departing Compliance Officers: A Problem or an Opportunity?
Key Points: It has been nearly thirty years since the OIG began issuing the compliance program guidance, which resulted in…
Behavioral Health Enforcement
Key Points: Following the COVID-19 pandemic, there has been a great spike in behavioral health services and a corresponding rise…
Understanding the Compliance Risk Assessment Framework (RAF)
Every healthcare organization understands the importance of risk management, but most do not have a solid foundation for their programs.…