Physician Practice Corporate Integrity Agreements
Independent Review Organization (IRO) Scope of Work Mandates In 2015, the Department of Health and Human Services (HHS) Office of…
Corporate Integrity Agreements Mandate Boards to Retain a Compliance Experts
For several years, the OIG has gradually modified and enhanced CIAs to increase oversight and accountability of entities that agree…
Medicaid Expenditures Now Exceed Department Of Defense Budget
GAO actuaries estimated Medicaid expenditures at $529 billion The Government Accountability Office (GAO) reported to Congress that its actuaries estimated Medicaid…
OIG Describes Factors It Considers When Deciding On Sanctions
The OIG has the authority to exclude any individual or entity (collectively, “person”) from participation in Federal health care programs…
OCR Reports New Findings and Settlements While Beginning New Round of HIPAA Audits
OCR began its second round of HIPAA audits by notifying randomly selected Covered Entities and Business Associates (BAs) that they…
Physician Practices that Sign Corporate Integrity Agreements Must Certify, Certify, Certify
Recent Corporate Integrity Agreements (CIAs) between physician practices and the U.S. Department of Health and Human Services Office of Inspector…
What Compliance Officers Need To Do To Address Compliance High-Risk Areas
The biggest challenge for compliance officers is addressing compliance high-risk areas through ongoing monitoring and independent auditing. Ongoing monitoring is…
Webinars Often Provide Affordable Live Compliance Training
8 Tips to Consider When Opting for Compliance Training Webinars The OIG compliance guidance documents reserve a separate section to…
OCR Begins New Round of HIPAA Audits
Covered Entities and Business Associates Targeted The Department of Health and Human Services Office for Civil Rights (OCR) has begun…
Tips for Smaller Organizations: How to Build a More Effective Compliance Program
Small and midsize organizations face the daunting challenge of meeting the standards of an effective compliance program while also trying…
Sanction Screening Obligations Prove to be a Growing Challenge: Best Practices Tips in Meeting the Challenge
The Department of Health and Human Services Office of Inspector General (OIG) makes it clear that providers and plans that…
2016: Time for an Independent Compliance Program Evaluation? Alternative Methods and Best Practice Tips for Each Type of Evaluation
The DHHS OIG and other regulatory bodies have stressed the importance of evidencing Compliance Program (“CP”) effectiveness. The Compliance Officer,…