New CMS Instructions for the 2-Midnight Rule
MACs given new directions on 2-midnight rule settlement agreements The Centers for Medicare and Medicaid Services (CMS) recently announced partial…
Whistleblower Case Alleges Epic Overbilled Millions
Lawsuit alleges hundreds of millions of dollars in overbilling In 2015, a whistleblower filed a qui tam lawsuit against Epic…
Legal Counsel Versus The Compliance Officer
Many compliance officers find it difficult to establish a positive working relationship with legal counsel. There are certain areas where…
October 2017 OIG Work Plan Update
Five New Items Added to Current Work Plan This year, the OIG is updating its annual Work Plan during the…
AHA Calls Upon CMS to Take Action to Address OIG Audits
Claims Flawed OIG Extrapolations and Overstatements of Repayment Demands In a letter to CMS, the American Hospital Association (AHA) requested that…
Tips on Being an Effective Compliance Officer
Everywhere one looks, compliance officers are called to be effective – but how can one meet this challenge? A number…
Unlawful Harassment Remains a Major Compliance High Risk Area
A major high-risk area that may result in serious liability for organizations is workplace discrimination and harassment. Although this area…
Cyber Security Tips
Growing Health Care Compliance Issues in Cyber Security Cyber security is a growing compliance issue, and has enormous implications for…
Provider Cost Report Audits
A High Risk Area Not To Be Overlooked One high risk area often overlooked by compliance officers involves the cost…
Compliance Programs Are Not Cost Centers
Effective Programs Can Lower Costs, Increase Productivity & Improve Patient Care The DOJ, OIG, United States Sentencing Commission, and new…
OIG Special Assistant U.S. Attorneys
Don’t Be Surprised To Find an OIG Agent or Attorney as a Prosecutor The HHS OIG issued its Semi-Annual Report…
Board Oversight of Compliance
The Need for Independent Evaluations of Program Effectiveness Effective compliance programs require top-down commitment beginning at the Board. The OIG…