OIG Spring Semiannual Report Highlights Medicare & Medicaid Investigative Results
OIG Semiannual Report Findings on Medicare and Medicaid Fraud The Medicare and Medicaid programs represent the largest area of work…
OIG Update on Combating the Opioid Epidemic
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its Semiannual Report to Congress (Report)…
OIG Testifies on Health Care Fraud Investigation Results from the Past Three Years
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) Deputy Inspector General, Gary Cantrell, testified before…
Evaluating Corporate Compliance Programs Using The DOJ “Filip Factors”
DOJ Guidelines Used to Evaluate Corporate Compliance Programs The Department of Justice (DOJ) Fraud Section (Fraud Section) guidance entitled “Evaluation…
Emerging Government Enforcement Priorities For 2018
The Health Care Compliance Association (HCCA) convened its 2018 Compliance Institute (Compliance Institute) in April. Nineteen representatives from various federal…
Massachusetts Doctor Convicted Of Criminal HIPAA Violation
Summary of Massachusetts Doctor’s HIPAA Violation & Penalty A federal jury in Massachusetts convicted a Springfield gynecologist, Dr. Rita Luthra,…
Defining Effective Compliance Programs
Evidencing an Effective Compliance Program in Healthcare The Office of Inspector General’s (OIG) compliance guidance calls for all compliance programs…
HIPAA Breaches in the First Four Months of 2018
Reported HIPAA Data Breaches in April: Another 120,000 Patients at Risk The Department of Health and Human Services (HHS) Office…
OIG Advisory Opinion on February 2018 Effect of Exclusion Case
Background In February 2018, the U.S. Department of Health and Human Services Office of Inspector General (OIG) issued Advisory Opinion…
DOJ and OIG Cited High-Risk Areas Are Not Compliance Officer’s Highest Priorities for 2018
Compliance Officer priorities conflict with enforcement agencies Register for Complimentary Webinar on Results SAI Global and Strategic Management Services recently…
Congress Raises Concerns of Inadequate Patient Protection in Skilled Nursing Facilities
The House of Representatives Committee on Energy and Commerce (the Committee) sent a letter to Centers for Medicare and Medicaid…
2017 OIG Report on Medicaid Fraud Control Units
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its annual report on state…