Refocusing the Compliance Paradigm
This article presents a logical, four-step process that will assist in meeting the seven elements of an effective compliance program.
Hospitals Cannot Form Intent to Violate the Law
Executives might pay more attention to what they are doing if they knew they could be held liable. About the…
The Latest on OIG Physician Arrangement Enforcement Actions
The article explains the importance of auditing and monitoring all arrangements involving physicians. About the Author Richard P. Kusserow established…
Leasing Agreements between Hospitals and Physicians Draw Considerable Attention
Simple Tips to Help Compliance Professionals Understand Complex Standards and Improve Agreements By now most hospitals are acutely aware that the Office of…
Behavioral Health and Medicaid Integrity
Recent changes in the regulatory and compliance environment require behavioral health providers to prepare for a dramatic change and increase…
Medicare and Medicaid Enforcement: The Planned Surge
This article addresses what some of the basic problems were with Medicare (Part A and B) and Medicaid enforcement in the…
Understanding the Importance of Reviewing Agreements with Physicians
This article provides tips for developing stronger contracts and documents to help ensure compliance. About the Author Richard P. Kusserow…
Risk Assessment for Skilled Nursing Facilities: Quality of Care
Risk assessment is a continuous, dynamic process of gathering, analyzing, and updating information. A simple framework is provided in the…
Hospital-Based Physicians Under the Kickback Statute: Not Forgotten
Include hospital-based physicians when developing auditing and monitoring plans. It is the highest risk area. About the Author Richard P. Kusserow established…
Enterprise Risk Management: The Next Evolutionary Step in Compliance
This article makes the case that an effective solution must be able to integrate decision support and technology with experienced…
Should Your Hotline be Outsourced, or Should it be Operated in House?
This article identifies several factors organizations must consider when deciding whether to outsource hotline operations or handling operations in-house. About…
Hospital Risk Assessments: Sources and Techniques
Risk assessments have become an important method for hospitals to establish and prioritize risk areas within their facilities. Specifically, the Health Insurance Portability and Accountability Act (HIPAA) and…