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OCR enforcement: Lessons Learned and Preparing for What’s Ahead
On May 20, 2014, the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) issued two annual…
30 Tips and Ideas for 2015 Compliance Work Plans
2015 begins, it is the right time to take stock of one’s compliance program and to prepare a Compliance Office…
Leveraging Healthcare Compliance Tools To Supplement Your Compliance Program
Responsibilities handled by Compliance Officers have grown in demands and complexity. More recently, many Compliance Officers have been given the…
Whistleblowers Benefit From Lack of Reporting Channels
The Centers for Medicare & Medicaid Services (CMS), plan to increase the reward for a successful tip about Medicare fraud…
HHS Releases Notice of Proposed Rulemaking to Strengthen Federal Background Checks
The Department of Health and Human Services (HHS) released a notice of proposed rulemaking to strengthen federal background checks by…
HHS Publishes Final Rule Allowing Patients Direct Access to Laboratory Test Reports.
On February 6, the Centers for Medicare & Medicaid Services (CMS) published a final rule that amends the Clinical Laboratory…
HHS Issues Notices of Privacy Practices Models
The Department of Health and Human Services Office for Civil Rights (OCR) and Office of the National Coordinator for Health…
Challenging Overpayment Extrapolations: Statistical Considerations
The government has recovered a record-breaking $10.7 billion in recoveries of health care fraud in the last three years, and contractor reform…
Managed Care Advisory Services
Managed Care Industry Experience Strategic Management has been providing compliance-related services to health insurance plans and managed care organizations (MCOs)…
HHS Settles Photocopier Breach Case with Managed Care Plan
Affinity Health Plan, Inc. (Affinity), a not-for-profit managed care plan serving the New York metropolitan area, recently settled a breach…
Developing Internal Investigation Program Capabilities
Strategic Management believes that the best interest of our clients is having them as self-sufficient in operating an internal investigations…
Developing Internal Investigation Program Capabilities
Developing Internal Investigation Program Capabilities Strategic Management believes that the best interest of our clients is having them as self-sufficient…