Validity versus representativeness
The terms “validity” and “representativeness” are often referred to when assessing claims payment and over-payment in healthcare. Confusion about their…
Best Practices To Keep Healthcare Exclusion Screening and Sanction Costs Low
The U.S. Department of Health and Human Services Office of Inspector General (OIG) has issued numerous compliance program guidance documents.…
Tips For Healthcare Compliance Survey Cost Management
More and more healthcare organizations are realizing the value in conducting compliance effectiveness surveys. Compliance survey tools yield powerful metrics…
Most Valuable Compliance Survey Questions
A compliance survey can be a powerful tool to measure the performance of your compliance program with the right questions.…
Compliance Program Elements Your Survey Is Missing
The use of compliance survey tools is an effective means to measure the performance of your compliance program. To be…
Prevent Healthcare Compliance Issues With Regular Surveys
I often hear from compliance officers looking for new solutions to assist in the prevention of healthcare compliance issues. Often…
HHS OIG’s Hotline Program
On June 1, 2015, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) released its…
Co-sourcing as a Means to Meet Increased Compliance Burdens
Compliance offices must contend with a host of competing external regulatory requirements and internal demands. These challenges are growing with…
Practical Tips For Screening The OIG’S List Of Excluded Individuals And Entities
During my 11-year tenure as the U.S. Department of Health and Human Services Inspector General, I established the healthcare related…
Measuring Compliance Program Effectiveness Objectively With Surveys
Measuring compliance program effectiveness can be achieved through the use of surveys. The U.S. Department of Health and Human Service…
Effective Auditing And Monitoring For Small Group Physician Practices
Gravely ill patients seeking urgent medical attention have often missed repeated opportunities to engage in preventative care — care that…
First Quarter 2015 – OIG’s Enforcement Actions Against Organizations That Hire Excluded Individuals
During the first quarter of 2015, the Department of Health and Human Services Office of Inspector General (OIG) reported on…