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…
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…
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…
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…
Practical Questions for Boards to Ask about their Compliance Program.
Effective Corporate Compliance Programs require the Board of Directors (Board) commitment to oversee the program’s implementation and operations. Ideally, the…
Practical Advice on Being an Effective Compliance Officer.
How do Compliance Officers remain effective in today’s regulatory and competitive business environment? Compliance experts with years of experience in…
Tips for Developing Annual Compliance Program Review Plans.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has called for the independent annual review…
DOJ and HHS Announce $1.3 Billion Health Care Fraud Enforcement Action.
The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) recently announced the largest Medicare Fraud…