Search Results: conflict of interest
Defining Healthcare Compliance Experts
Key Points: Understanding the meaning of Compliance Experts is important Compliance Experts have taken on new meaning and significance with…
Choosing the Right Independent Review Organization
The Department of Health and Human Services Office of Inspector General (OIG) negotiates Corporate Integrity Agreements (CIAs) with health care…
OIG Adds Eleven New Work Plan Items for February.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued eleven updates to its Active…
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…
Update on Corporate Integrity Agreements
Compliance Program Reviews and Compliance Experts HHS OIG has recently demonstrated a new trend in Corporate Integrity Agreements (CIAs) it…
OIG Advisory Opinion No. 15-14
The OIG issued an advisory opinion regarding a non-profit, tax-exempt, charitable organization’s (“Requestor’s”) program (the “Arrangement”) to help financially needy…
Where To Begin The Independent Review Organization (IRO) Review Process
The Office of Inspector General (OIG) has negotiated hundreds of Corporate Integrity Agreements (CIAs). Under a CIA, a provider or…
Meeting the Challenge of Corporate Integrity Agreements and Independent Review Organizations
Introduction The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG),…
Selecting an IRO
How to Select Your Independent Review Organization (IRO) There are currently over 300 active Corporate Integrity Agreements (CIAs) that have…
Statistics in Healthcare – Friend or Foe? – Taking the Compliance Office’s Perspective
Growing Importance of Statistics in Compliance Enforcement Data analytics, data mining, overpayment extrapolation using statistical concepts including sampling, and the overall…
2025 Top Ten Planned Compliance Program Initiatives
The 2025 Compliance Benchmark Survey, conducted by SAI Global and Strategic Management Services, LLC, asked respondents about their planned compliance…
What Is Healthcare Compliance?
Healthcare compliance is the ongoing process of aligning an organization’s operations, billing practices, and workforce conduct with the legal, ethical,…