Avoid Whistleblowers with Credible Compliance Channels
Most DOJ/OIG Cases Initiated by “Whistleblowers” The Federal government and many state agencies encourage reporting potential violations through their reporting…
Compliance Program Effectiveness Evaluation: Scope and Expectations
Reprinted from Wolters Kluwer‘s Kusserow on Compliance Blog With the New Year upon us, it may be time to consider…
Kusserow on Compliance: Medicare Parts A and B Among OIG’S Top Management Challenges
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from Wolters Kluwer‘s Kusserow on Compliance…
Key Highlights of the Fiscal Year 2017 OIG Work Plan
INTRODUCTION On November 10, 2016, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) released its…
Looking Beyond the End of the Physician ICD-10-CM Coding Grace Period
Key Points ICD-10-CM Grace Period The one-year-long grace period for ICD-10-CM implementation ended on October 1, 2016. This provided the…
Kusserow on Compliance: Ensuring Hotline Effectiveness
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from his Wolters Kluwer‘s Kusserow on…
Kusserow on Compliance: Personal Care Services (PCS) Attendants Need Stricter Screening
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from his Wolters Kluwer‘s Kusserow on…
Essential Hotline-Related Policies and Procedures
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from Wolters Kluwer‘s Kusserow on Compliance…
Kusserow on Compliance: OIG Hotline Complaints
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from Wolters Kluwer‘s Kusserow on Compliance…
CIAs: Roadmap to a Compliance Officer’s Annual Work Plan?
Corporate Integrity Agreements (CIAs), which certain healthcare organizations enter into with the Office of Inspector General (OIG) of the U.S.…
DOJ and OIG Increasing Focus on Personal Executive and Board Accountability
Deputy Attorney General Sally Yates recently issued a memorandum (the “Yates memo”) on behalf of the Department of Justice (DOJ).…
New Sanction Screening Challenges for Managed Care Organizations
Pursuant to the U.S. Department of Health and Human Services (HHS) Office of Inspector General’s (OIG’s) “Compliance Program Guidance for…