Search Results: compliance expert
Cornelia Dorfschmid
Dr. Cornelia M. Dorfschmid has over 30 years of private and government sector experience in health care compliance consulting, the majority of which was in management and executive capacities. She is a recognized expert in the areas of claims auditing, overpayment analysis and risk management and corporate health care compliance.
Jennifer Kirchner
Jennifer Kirchner is a licensed attorney in Illinois and Wisconsin. Ms. Kirchner has expertise in assessing provider compliance with the Anti-Kickback Statute, Stark Law, the False Claims Act, HIPAA Privacy and Security Rules and clinical research laws and regulations.
Developing and Revising Your Organization’s Code of Conduct
The Code of Conduct (Code) should be a statement of an organization’s guiding principles and standards, and it must be…
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.…
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…
Challenges with Code of Conduct Development and Revision
A Code of Conduct (Code) is a foundational part of any effective compliance program. Compliance guidance from the Department of…
The HHS Appeals Backlog Saga Continues
Back in 2016, the U.S. District Court for the District of Columbia (District Court) ordered the Department of Health and…
OIG Reports on Telehealth Services
The use of telehealth services continues to grow throughout the country. Nearly all state Medicaid programs allow beneficiaries to receive…
OIG Update on Opioid Use In Medicare Part D
The opioid crisis has been declared a public health emergency, with more than 42,000 opioid-related overdose deaths occurring in the…
New Initiatives to Curb Medicaid Fraud and Abuse
Medicaid spending is on the rise and various government agencies are looking to cut down on improper payments. The U.S.…
Recent ALJ Ruling on HIPAA Violation Results in Over $4 Million in Penalties
HHS Administrative Law Judge Rules Against The University of Texas MD Anderson Cancer Center for Over $4.3 Million in Penalties…
Update on the Federal Response to the Opioid Crisis
DOJ Opioid Health Care Fraud Enforcement Efforts The opioid crisis is catching everyone’s attention in the health care field these…