OIG Issues Advisory Opinion on Hospital Provision of Free or Reduced-Cost Lodging and Meals.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an advisory opinion regarding a…
CMS Issues Fines against 17 Insurers for Medicare Prescription Drug Rules Violation.
The Centers for Medicare and Medicaid Services (CMS) recently fined 17 health plans for violating Medicare prescription drug rules. CMS…
OCR Imposes $3.2 Million Penalty for BlackBerry Device Breach.
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently announced a Health Insurance Portability and…
Data Breaches Increased Significantly in 2016.
SiliconRepublic recently reported on new research indicating the increasing global damage of security breaches. The research was conducted by the…
U.S. House of Representatives Withdraws Vote on the American Health Care Act.
The United States House of Representatives (House) postponed a vote on the American Health Care Act of 2017, H.R. 1628…
New Jersey Doctor Convicted in $100 Million Healthcare Fraud Scheme.
The Department of Justice (DOJ) recently reported that a Newark federal jury convicted Bernard Greenspan, a 79-year-old New Jersey family…
OIG Reports Recent Self-Disclosure Cases.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported several self-disclosure cases that were…
DOJ Issues New Guidance on Corporate Compliance Program Evaluations.
The Department of Justice (DOJ) recently issued guidance on the effectiveness of corporate compliance programs. The guidance lists important topics…
GAO Releases Report on CMS Data Deficiencies for Medicaid Personal Care Services.
The General Accountability Office (GAO) recently released a report on the Centers for Medicare and Medicaid Services’ (CMS) data deficiencies…
Tips for Addressing Compliance High-Risk Areas.
Compliance Officers have the significant challenge of addressing the numerous compliance high-risk areas through ongoing monitoring and independent auditing. For…
Tips for Effective Sanction-Screening.
Attorneys have frequently advised clients who want to appeal the Department of Health and Human Services (HHS) Office of Inspector…
The Pareto Principle in Leveraging Dynamic Compliance Program Effectiveness
Compliance professionals hang their hat on the achievement of an effective compliance program. What do compliance professionals mean by “effective?”…