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…
Basic Questions to Address for Exclusion & Sanction Checks
Overview It is imperative for health care organizations to screen all employed and engaged individuals and entities for sanctions and…
False Claims Act for Healthcare: Policies and Procedures
What is the False Claim Act in Healthcare? The False Claims Act is one of many federal laws that helps…
The Deadline Is Fast Approaching for Meeting the Legal Mandate for an Effective Nursing Home Compliance Program
Nursing Home Facilities Need to Take Action If They Haven’t Already The Patient Protection and Affordable Care Act (ACA), enacted…
The Benefits of Sanctions Screening Tools
Overview The U.S. Department of Health and Human Services Office of Inspector General (OIG) requires that health care providers conduct…
Developing Effective Compliance Policies
Overview Development and implementation of compliance policy documents is essential to maintaining an effective compliance program. However, many health care…
Effective Sanctions Screening to Minimize Compliance Risks
Overview The Department of Health and Human Services Office of Inspector General (OIG) recommends that all organizations in the health…