Search Results: independent
Monitoring and Auditing the Highest Compliance Risk Area: Physician Arrangements
The number one health care enforcement priority for both the Department of Justice (DOJ) and the Office of Inspector General…
Compliance Officer Challenges With Re-Opening After Lockdown
As the country moves towards returning to a fully reopened workplace, it is time to think about what should be…
Compliance Surveys
Health care organizations can measure the effectiveness of their Compliance Program with reliable data from the workforce. Strategic Management developed proprietary survey instruments that have been validated, tested and deployed to hundreds of health care organizations.
34 Questions Boards Should Be Asking Compliance Officers
Compliance Program (CP) is an effort that begins at the Board of Directors (Board) level. Both the Department of Justice…
2020 DOJ Compliance Guidance on Employee Surveys
The U.S. Department of Justice (DOJ) 2020 Evaluation of Corporate Compliance Programs (Guidance) includes additions based on the DOJ’s experience…
2020 DOJ Compliance Guidance: Organizations must conduct periodic compliance program reviews
Key Takeaways The DOJ stresses how critical it is to evidence program effectiveness Regular, rigorous, and consistent independent reviews is…
Claims Processing Ongoing Monitoring and Auditing
Key Points: Claims processing is the third highest priority for Compliance Officers. The key to effectiveness is a Quality Assurance…
Claims Quality Assurance: Monitoring and Ongoing Claims Processes
Key Points: In the Department of Health and Human Services, Office of Inspector General’s (OIG) Compliance Program Guidance for Hospitals, claims…
DOJ Takes First Enforcement Action Against COVID-19 Fraud
Temporary Restraining Order issued against website offering fraudulent vaccine The Department of Justice (DOJ) has taken its first enforcement action in federal…
Employee Exit Interview Procedure: A Compliance Tool
An effective exit interview procedure allows organizations to elicit valuable information and act upon it, if necessary, before the employee…
Effective Compliance Records Management Program
Compliance Record Management Tips to Consider All effective healthcare compliance programs should implement some type of compliance records management system.…
$145 Million Settlement With Practice Fusion In Kickback Scheme Aimed At Boosting Opioid Prescriptions
Key Points Practice Fusion allegedly took $1 million in kickbacks from a major pharmaceutical company in exchange for its software…