Make Your Compliance Hotline More Effective: Here Is How
A key component of an effective compliance program is having an effective hotline program. The operative word is “effective.” Many…
Whistleblowers Benefit From Lack of Reporting Channels
The Centers for Medicare & Medicaid Services (CMS), plan to increase the reward for a successful tip about Medicare fraud…
How Important is Anonymity With Hotline Calls?
Organizations must encourage employees to report anonymously to the compliance hotline. At first this may seem like a counter intuitive…
Billing monitoring: Weakest link or greatest strength?
It is well known from the various compliance program guidance documents issued by the Department of Health and Human Services…
When and How Should a Hotline Vendor Be Re-Evaluated?
Most health care organizations have been using a compliance hotline vendor for many years. Anyone with the same hotline vendor…
Developing and Managing Compliance Policy Documents
Developing, implementing, and disseminating written compliance documents is a major foundation of any compliance program, both in terms of organization…
Developing and Managing Compliance Policy Documents: Always Use Caution When Developing Documents for Your Organization
Developing, implementing, and disseminating written compliance documents is a major foundation of any compliance program, both in terms of organization…
How Effective Is Your Compliance Hotline? Steps On How To Improve
As the Compliance or Privacy Officer, do you feel a bit like the memorable Maytag repairman whose phone never rang…
Evidencing Effectiveness In Compliance Training
The compliance officer’s primary responsibilities include developing, coordinating, and participating in a multifaceted educational and training program that focuses on…
No Managed Care Organization Should Allow a Gap between Compliance Officers
Medicare Parts C & D programs require managed care organizations (MCOs) to develop and implement effective compliance programs that include having a compliance officer…
Mergers and Acquisitions Due Diligence in Health Care
Hardly a day passes when the press doesn’t report on a new merger or acquisition in the health care sector. The trend…
Dissecting the Internal Audit Function in Health Care
The traditional role of the internal auditor is to independently and objectively analyze, review, and evaluate existing procedures and activities as well as report…