OIG Finds More Problems With Skilled Nursing Facilities
The HHS OIG, Medicare Payment Advisory Commission, and other entities have raised longstanding concerns regarding Medicare’s Skilled Nursing Facility (SNF)…
Addressing Nurse Drug Problems
Huge Liabilities for Drug Impaired Nurses or Those Engaged in Drug Diversion There are 4 million active nurses in the…
OIG Issues Report Critical of OCR Oversight of HIPAA Breaches
OCR data estimates that more than 41 million people have had their PHI compromised in HIPAA privacy and security breaches.…
Strengthening Medicaid Integrity and Closing Loopholes to Fraud
The House Energy and Commerce Committee on Health held a hearing focused on improving Medicaid integrity by closing costly loop…
Data Breaches Continue To Increase
After a decade of HIPAA Privacy and Security efforts, data breaches continue to increase. The year 2015 represents a banner…
Avoid Fumbling An Investigation As It Can Be Costly
A carelessly conducted investigation can lead to avoidable mistakes that in many cases compromise the investigation and in some instances…
Why Hotline Anonymity is in Your Best Interest
Encouraging anonymity for Hotline callers may at first seem like a bad practice; however, it is a sound policy and…
Questions for Compliance Officers Preparing for ICD-10
Time is running out before the changeover to ICD-10 on October 1st 2015. Although it is the responsibility of program…
Tips For Managing Medicare Claims Appeals
Managing Medicare claims appeals continues to be a heavy burden for providers. In light of the Office of Medicare Health…
12 Rules for Conducting Successful Compliance Investigations
Conducting successful internal investigations depends on following the proper guidelines. It is too easy for individuals inexperienced in conducting investigations…
Alternative Options for Staffing a Compliance Program
Compliance Officers must manage staffing needs against a growing list of duties and responsibilities. Finding and hiring highly qualified staff…
HIPAA Privacy Breaches Increasing At A Rapid Rate
The Anthem data breach last February served as a wakeup call to many Privacy, Security, and Compliance Officers since it…