GAO High Risk List 2017: Fraud Vulnerabilities in Medicare and Medicaid
The Government Accountability Office (GAO) issued a new report in its “High Risk” Series regarding federal programs that are vulnerable…
OIG Sanctions Update for 2017
Sanctions Screening Tips to Avoid Violations As required under CMS’s conditions of participation and enrollment, compliance officers must screen employees…
OIG Report on 2016 Medicaid Fraud Control Units
The OIG issued a report on statistical results from the State Medicaid Fraud Control Units (MFCUs) for 2016. The OIG…
President’s Proposed Budget Adds $70 Million For Healthcare Fraud Funding
President Donald Trump’s proposed budget for fiscal year 2018 increased funding by $70 million to fight healthcare fraud, while cutting…
OIG Hotline Number Used in a Scam
Warning to Beware of Scammers The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has issued…
New DOJ Guidelines on Corporate Compliance Programs
The Department of Justice’s (DOJ) Fraud Section recently issued guidance for Compliance Officers on how prosecutors evaluate the adequacy of…
17 Tips on Implementing HIPAA Safeguards
Recent OCR Actions Make Implementing HIPAA Safeguards Imperative for Organizations The United States Department of Health and Human Services (HHS) Office for…
Being an Effective Compliance Officer: Tips From Experts
The burdens of being a Compliance Officer continue to grow with the increasing healthcare regulatory and enforcement environment. Being a…
2016 Annual Report Released on OIG and DOJ Statistical Accomplishments
The Health Insurance Portability and Accountability Act of 1996 (HIPAA) established a national Health Care Fraud and Abuse Control Program…
OCR Kicks Off The New Year With Its First Enforcement Action For Lack Of Timely Breach Notification
OCR Announced $475,000 HIPAA Settlement OCR continues to report HIPAA violations for unauthorized access or disclosure of Protected Health Information…
Corporate Integrity Agreements Terms and Conditions
Standard and evolving provisions Much can be learned from knowing what is expected under a CIA Corporate Integrity Agreements (CIAs)…
Standard and Evolving Provisions in Corporate Integrity Agreements
CIAs provide insight into OIG Compliance Program expectations The OIG begins negotiating Corporate Integrity Agreements (CIAs) after the DOJ has…