CMS Proposes New Rule To Reduce Stark Law Burdens And Confusion
Recently, the Fourth Circuit Court of Appeals decided against the Tuomey Healthcare System in a case that has resulted in…
Evaluating Allegations of Wrongdoing
Although there are many channels of communication, compliance complaints and allegations arrive primarily through the use of hotlines. Complaints can…
Organizations Should Evaluate All Elements of a Compliance Program Through Employee Surveys
OIG Compliance Program guidance calls for effectiveness benchmarking of compliance programs and advises organizations to evaluate all elements of a…
Federal Court Rejects Tuomey Appeal: $234 Million Judgment Stands
The U.S. Court of Appeals for the 4th Circuit issued its decision in the decade long Tuomey Healthcare System fraud…
Tuomey: Case Study on Warning Signals and Tips on What Not to Do
After ten years of investigation, losing at two jury trials, and making multiple appeals, the Tuomey Healthcare case reached final…
OIG Calls For More Action To Reduce Medicare Part D Fraud
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a summary report documenting the results…
Tips On Physician Sanction Screening
Sanction screening physicians and other medical staff is not optional.ย Failing to sanction screen may result in a violation of…
When is Having a Part-Time Compliance Officer a Viable Option?
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) emphasizes that one size does not fit…
HHS OIG Spring Semi-Annual Report To Congress
Under federal law, the Office of Inspector General (OIG) must report semiannually to Congress and to the Department of Health…
OIG Adds New Reviews to the 2015 Work Plan
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently posted a revised Work Plan for…
Tips for Boards in Providing Necessary Compliance Oversight
The role of the Board in providing oversight of compliance programs is growing.ย The Department of Health and Human Services…
OIG List of Excluded Individual Entities: Updates & Tips
During my term as the Department of Health and Human Services (DHHS) Inspector General, I instituted what has become the…