Human Resource Management and the Compliance Office
Both the Compliance Office and Human Resources Management (HRM) play critical roles in any organization’s compliance program, and every compliance officer…
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).…
Compliance Outsourcing: What, Why, When, Where, Who, and How
One of the most significant business trends over the last decade has been to outsource functions that are not core…
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…
Effective Compliance Training for Small Physician Practices
To date, most smaller physician practices have not taken the time or effort to develop a compliance program, long advocated by…
Tips on Developing Compliance Policies and Procedures
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has issued a number of compliance program…
Measuring and Benchmarking Compliance Program Effectiveness
One of the best, but least utilized, tools for evaluating compliance program effectiveness is the use of employee surveys; not just any surveys but…
EPLS Migrates to SAM with Little Fanfare
It May Take Time to Get Familiar with the New System and Its Nuances With little fanfare, the General Services…
Is Healthcare Compliance Outsourcing an Option for Your Compliance Program?
Under the Affordable Care Act, CMS has been charged with developing mandated Healthcare Compliance Program (CP) standards that will be…
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…
One Strategy for Rapidly Developing an Effective Compliance Program
For years, there has been a legal and regulatory mandate for managed care organizations (MCOs) to have an effective compliance program — but now the…
New Compliance Officers Should Not “Buy a Pig in a Poke”
New compliance officers often inherit a host of problems. This article talks about how to avoid assuming ownership of these…