Natalie S. Lesnick Obtains Certification in Healthcare Compliance
Congratulations to Associate Consultant Natalie Lesnick, JD, CHC on obtaining her Certification in Healthcare Compliance from the Health Care Compliance…
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…
Hacking Incidents Skyrocketed During the COVID-19 Pandemic
Hacking Incidents Increased by 42 Percent A report by Protenus, Inc. indicates that that while hacking incidents in the health care industry…
CMS Finalizes Changes to the Stark Law Regulations
Guest author Alexis Rose, JD provides insight and analysis on recently updated government regulations. The Centers for Medicare & Medicaid…
2020 DOJ Compliance Program Guidelines Focuses Attention on Compliance Investigations
The 2020 Department of Justice (DOJ) Compliance Program Guidance (the Guidance) evidences an increased interest and focus on effective compliance…
Board Members’ Compliance Obligations
Overview Due to the health care industry’s heightened enforcement environment, organizations must ensure that all individuals and groups associated with…
2018 Healthcare Compliance Benchmark Survey Report
Executive Summary For the past 20 years, an increasing number of healthcare organizations have focused on the development and implementation…
Congress Questions CMS Oversight of Hospital Accrediting Organizations.
The United States House of Representatives Committee on Energy and Commerce (House Committee) recently initiated an inquiry into the Centers…
Whistleblowers Allege FCA Violations in $324 Million Lawsuit Involving 62 Indiana Hospitals.
A recently unsealed qui tam (whistleblower) lawsuit alleges that 62 Indiana hospitals and a Georgia-based health IT company violated the…
GAO Reports on CMS Fraud Prevention Activities.
The Government Accountability Office (GAO) recently released a report analyzing the Centers for Medicare and Medicaid’s (CMS) use of its…
Practical Advice on Converting Compliance Plans into Compliance Programs.
In its earlier compliance guidance, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) used the…
Best Practices for Health Care Organizations Regarding Whistleblowers.
Some health care organizations may be attempting to use expanded confidentiality and non-disclosure agreements to restrict whistleblower activity within their…