Home Health Care Fraud is Still Rampant
Record $400 Million Fraud Case in Dallas Home health remains the most fraud prone program for Medicaid and ranks high…
Health Care Cybersecurity is in “Critical Condition”
The Health Care Industry Cybersecurity Task Force issued a report to Congress that addresses the current state of cybersecurity in the U.S.…
Choosing Your Hotline Vendor
An Informational Guide for Hotline Vendor Selection and Tips on What to Expect from Your Vendor By definition, all effective…
Largest EMTALA Settlement
Tips for Performing Ongoing Monitoring and Auditing AnMed Health, a hospital located in South Carolina, recently agreed to pay $1.3…
Compliance Program Gap Analysis vs. Effectiveness Evaluation
Comparisons, Cost Benefits, and Considerations As compliance officers and organizations try to determine when and under what circumstances to have…
Congressional Hearing on HHS Cybersecurity
PHI Security Emphasized Congressman Tim Murphy chaired a recent hearing on the HHS cybersecurity role. The hearing included a review…
HHS Final Rule on Medicare Appeals Process
Earlier this year, HHS issued a final rule that streamlines the Medicare administrative appeal processes to address the continuing increase…
OIG Reports Medicare Paid $730 Million in Improper EHR Payments
12 percent of the $6 billion in EHR incentive payments were improper The HITECH Act established the electronic health record…
OIG to Review CMS Management of the Quality Payment Program
Review to coincide with monthly updates to OIG Work Plan The OIG announced that its work planning process is being…
OIG Reports on Hotline Results for the First Half of 2017
Results Show Nearly 70,000 “Tips” to the Hotline The HHS OIG is mandated to provide a semi-annual report to Congress…
OCR Reports On Continuing Complaint Issues
At the 2017 HCCA Compliance Institute, OCR reported that it is expecting about 17,000 HIPAA complaint issues this year. To…
What Makes a Compliance Consultant Expert?
The answer to this question may be of interest to compliance officers seeking assistance with their program, or desiring a…