New Initiatives to Curb Medicaid Fraud and Abuse
Medicaid spending is on the rise and various government agencies are looking to cut down on improper payments. The U.S.…
Recent ALJ Ruling on HIPAA Violation Results in Over $4 Million in Penalties
HHS Administrative Law Judge Rules Against The University of Texas MD Anderson Cancer Center for Over $4.3 Million in Penalties…
Update on the Federal Response to the Opioid Crisis
DOJ Opioid Health Care Fraud Enforcement Efforts The opioid crisis is catching everyone’s attention in the health care field these…
OIG Cites EMTALA Cases in Spring 2018 Semiannual Report To Congress
Monitoring and Auditing Tips for Compliance Officers The Department of Health and Human Services (HHS) Office of Inspector General (OIG)…
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…