OIG Advisory Opinion No. 15-14
The OIG issued an advisory opinion regarding a non-profit, tax-exempt, charitable organization’s (“Requestor’s”) program (the “Arrangement”) to help financially needy…
Reflections on the “Yates Memo” and New DOJ Guidelines
This blog release is a part of a series of articles relating to the memorandum by Deputy Attorney General Sally…
CMS Issues Report on Claims Rejected During First Month of ICD-9 to ICD-10 Transition
October 1st, or “D-day” for health systems across the country transitioning to the 10th revision of the International Classification of…
HIPAA Breaches of Mobile Devices Continue to Increase: Tips for Mobile Device Security
The growing use of mobile devices to communicate about patients increases the risk of HIPAA violations. Lost or stolen devices…
DOJ Reports $250 Million in Settlements With 70 Hospitals Over Cardiac Device
The Department of Justice (DOJ) reported that it has settled with 457 hospitals that implanted cardiac devices in Medicare patients…
Corporate Integrity Agreements: Holding Boards Accountable
For over a decade, the Department of Health and Human Services Office of Inspector General (OIG) has focused on Board…
Annual Compliance Program Effectiveness Evaluation
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) and other regulatory bodies have stressed that…
Tuomey Landmark Stark Case Comes to an End: Lessons Learned and Tips for Compliance Officers
The United States Department of Justice (DOJ) announced that it resolved the judgment against Tuomey Healthcare System. The United States…
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…