Search Results: independent
CRS Releases Summary Report on the SUPPORT Act Provisions Affecting Medicare
The Congressional Research Service (CRS) recently released a report on the Substance Use-Disorder Prevention that Promotes Opioid Recovery and Treatment…
OIG Issues Advisory Opinion on Charitable Pediatric Clinic Providing Cost-Sharing Waivers
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an advisory opinion regarding a…
Building and Measuring a Culture of Compliance
An organization’s compliance program should set the tone and standards expected in a healthcare work place, especially in terms of…
Regulatory Due Diligence for Mergers and Acquisitions is Critical
High Return on Investment in M&A Due Diligence News reports regarding health care mergers or acquisitions are emerging almost daily.…
2019: Time for Evidencing Compliance Program Evaluation
The compliance officer, like any program manager, is responsible for the ongoing monitoring of their program. However, compliance officers should…
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…
Preventing Fraud and Whistleblowing Through Anonymous Hotlines
Overview According to the Government Accountability Project, a whistleblower is defined as, “a [workforce member] who discloses information that s/he…
Addressing the Risk of Whistleblowers
The Department of Justice (DOJ) reported that 93 percent of their successful civil false claims court actions relied upon qui…
Board Oversight is Critical for an Effective Compliance Program
Gaining interest and support from the Board of Directors (Board) is essential for any compliance program. Boards need to be…
CMS Issues Medicare Physician Fee Schedule Final Rule
The Centers for Medicare & Medicaid Services (CMS) published the final policy, payment, and quality provisions changes to the Medicare…
CMS Publishes Annual Adjustments to ALJ Hearings and Judicial Review Threshold Amounts
The Centers for Medicare & Medicaid Services (CMS) recently published the annual adjustments to the amount in controversy (AIC) threshold…
Survey Employees for a Fresh Look at Your Compliance Program
Steve Forman, CPA, has built, managed and assessed over 50 compliance programs. In his experience, a good way to gain…