Search Results: independent
IRO Claims Reviews Revisited
Healthcare entities that enter into corporate integrity agreements (CIAs) or integrity agreements (IAs) with the U.S. Department of Health and…
Medicare Trustees Release 2017 Annual Report on Medicare Trust Fund Status.
The Board of Trustees of the Federal Hospital Insurance and Federal Supplementary Medical Insurance Trust Funds (Trustees) recently released a…
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…
Board Oversight of Compliance
The Need for Independent Evaluations of Program Effectiveness Effective compliance programs require top-down commitment beginning at the Board. The OIG…
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…
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…
Compliance Program Gap Analysis vs. Effectiveness Evaluation
Comparisons, Cost Benefits, and Considerations As compliance officers and organizations try to determine when and under what circumstances to have…
OIG and U.S. Sentencing Commission: Effective Compliance Programs Depend on the Culture of the Organization
A Professionally Developed, Independently Administered Survey Can Provide Useful Data on Compliance Effectiveness Federal government compliance guidelines and guidance emphasize the…
HHS Final Rule on Medicare Appeals Process
Earlier this year, HHS issued a final rule that streamlines the Medicare administrative appeal processes to address the continuing increase…
Using Culture Surveys to Measure Compliance Program Effectiveness
By Richard Kusserow, former HHS Inspector General and CEO of Compliance Resource Center. Reprinted from Wolters Kluwer‘s Kusserow on Compliance…
OCR Reports On Continuing Complaint Issues
At the 2017 HCCA Compliance Institute, OCR reported that it is expecting about 17,000 HIPAA complaints this year. To date,…
OCR Reports On Continuing Complaint Issues
At the 2017 HCCA Compliance Institute, OCR reported that it is expecting about 17,000 HIPAA complaint issues this year. To…