Navigating an integrity agreement with the OIG: A resource for practitioners
By Cornelia Dorfschmid and Nicole Caucci Cornelia Dorfschmid ([email protected]) is Executive Vice President at Strategic Management Services, LLC in Alexandria, VA.…
2019 HIPAA Compliance Survey Report
For the first time, a national HIPAA compliance survey conducted by SAI Global, in collaboration with Strategic Management Services, LLC, explored the…
Gathering Compliance Investigation Evidence
Sorting Through the Details to Find What’s Relevant and Reliable in a Compliance Investigation The two major tasks in the…
2019 Healthcare Compliance Benchmark Report
This report provides results from SAI Global’s tenth annual Healthcare Compliance Benchmark Survey. It is a collaborative effort with Strategic…
Developing a Patient-Centered Nursing Home Compliance Program that is 3E (Effective, Efficient, and Economical)
As discussed in the last issue, in less than one year (November 2019) all nursing facilities participating in the Medicare…
Utilizing Third-Party Sanction Checks to Prevent Enforcement Actions
Overview Many health care organizations are aware of the U.S. Department of Health and Human Services Office of Inspector General’s…
Healthcare Auditing and Monitoring Tools for an Effective Compliance Program
An Overview of Healthcare Compliance Auditing Auditing and monitoring processes help health care organizations stay compliant with federal and state…
Board Members’ Compliance Obligations
Overview Due to the health care industry’s heightened enforcement environment, organizations must ensure that all individuals and groups associated with…
Monitoring and Auditing of Compliance Standards
Overview The Department of Health and Human Services Office of Inspector General’s compliance guidance documents[1] call for ongoing monitoring and…
Effective Compliance for an Independent Charity Patient Assistance Program
Patient assistance programs (PAPs) provide financial assistance to eligible individuals who incur high drug bills. PAP organizations face heightened governmental…
SAMHSA: New Substance Use Disorder Disclosure Requirements
Opioid epidemic renews confidentiality concerns with Substance Use Disorder records. SAMHSA’s Final Rule updates and modernizes its confidentiality (Part 2)…
DME Fraud Remains High Enforcement Priority
Overview In the health care industry, instances of fraud, waste and abuse can occur anywhere, whether in a hospital or…