Tips on Developing Compliance Policies and Procedures
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has issued a number of compliance program…
DOJ Reports Recoveries of $4.7 Billion
Fifty percent from the health care industry During 2016, the DOJ reported obtaining $4.7 billion in settlements and judgments from…
Court Orders End of Medicare Claims Appeal Backlog by 2020
Backlog saga may be coming to an end On December 8, 2016, a district court ordered HHS to eliminate pending Medicare…
Alert: Phishing Email Disguised as Official OCR Audit Communication
The Department of Health and Human Services (HHS) Office of Civil Rights (OCR) issued an alert at the end of…
OIG Issues Its Annual Report On Top Management Challenges Facing The U.S. Department Of Health And Human Services
https://oig.hhs.gov/reports-and-publications/top-challenges/2016/ Medicare Parts A and B Still Among Top Challenge Areas Annually, the OIG prepares a summary of the most…
5 Effective Compliance Training Methods
Developing and implementing regular, effective education and compliance training programs is one of the seven elements of an effective compliance…
Proper Handling of Hotline Complaints
Tips From Experts Careless handling of hotline complaints can result in serious problems for an organization and the Compliance Officer,…
The Quick and Inexpensive Method to Evidence Compliance Program Effectiveness
Evidencing compliance program effectiveness is a major challenge for providers seeking to meet government enforcement agency expectations. The HHS OIG…
Use of Statistical Sampling by the OIG and Others
Early last year, HHS OIG released a Podcast explaining its statistical sampling methodologies. The OIG depends on statistical sampling to…
Topics for Briefing Boards
Many Compliance Officers (COs) raise questions about what kinds of reports concerning the Compliance Program (CP) can be made to…
The Growing Threat of Ransomware Attacks
There has been a ‘sea change’ with breaches of protected health information (PHI). OCR reported that HIPAA Privacy and Security…
Developing or Revising the Code of Conduct
Key elements of any effective Compliance Program include written Compliance guidance for employees that clearly states the organization’s expectations for…