Physician Arrangements Fair Market Value (FMV)
The ongoing and increasing enforcement actions related to arrangements with referral sources require Compliance Officers to pay close attention to…
A Guide to Choosing the Right Compliance Consultant
Selecting the right consultant with the needed expertise and cultural alignment. When seeking a consultant’s help to address compliance challenges…
Departing Compliance Officers: A Problem or an Opportunity?
Key Points: It has been nearly thirty years since the OIG began issuing the compliance program guidance, which resulted in…
Behavioral Health Enforcement
Key Points: Following the COVID-19 pandemic, there has been a great spike in behavioral health services and a corresponding rise…
Understanding the Compliance Risk Assessment Framework (RAF)
Every healthcare organization understands the importance of risk management, but most do not have a solid foundation for their programs.…
OCR Reports Increase in Large Settlements of Ransomware Breaches
Tips and steps to mitigate risks The Office of Civil Rights (OCR) has reported a growing number of large ransomware…
OIG On Financial Arrangements
The majority of healthcare fraud enforcement actions by the Department of Justice (DOJ) and Office of Inspector General (OIG) have…
Cost Effective Temporary Compliance Officer Staffing
Key Points: A Compliance Officer’s departure may leave an organization without management of its compliance program, and no health care…
Monitoring and Auditing Methods for Effective Compliance: Best Practices for Leaders
A continuing major challenge for Compliance Officers is how to address ongoing auditing and monitoring of high-risk areas. The OIG…
Common HIPAA Mistakes and Steps to Prevent Them
As of May 21, 2024, the Department of Health and Human Services, Office for Civil Rights (OCR) has received over…
The Difference Between Governance and Day-to-Day Management
It is not unusual for a conflict to arise concerning the degree to which the Compliance Officer is accountable to…
Court Strikes Down HIPAA Web Tracking Guidance
In a case brought by the American Hospital Association (AHA), the U.S. District Court for the Northern District of Texas issued…