Search Results: compliance expert
OIG Spring Semiannual Report Highlights Medicare & Medicaid Investigative Results
OIG Semiannual Report Findings on Medicare and Medicaid Fraud The Medicare and Medicaid programs represent the largest area of work…
OIG Update on Combating the Opioid Epidemic
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its Semiannual Report to Congress (Report)…
Emerging Government Enforcement Priorities For 2018
The Health Care Compliance Association (HCCA) convened its 2018 Compliance Institute (Compliance Institute) in April. Nineteen representatives from various federal…
Massachusetts Doctor Convicted Of Criminal HIPAA Violation
Summary of Massachusetts Doctor’s HIPAA Violation & Penalty A federal jury in Massachusetts convicted a Springfield gynecologist, Dr. Rita Luthra,…
Practical Advice to Avoid Arrangement Violations under the Stark Law.
The Centers for Medicare & Medicaid Services (CMS) recently addressed possible revisions to the Stark Law. The Stark Law is…
OIG Reports $2.4 Billion in Healthcare Fraud Judgments and Settlements
The Department of Health and Human Services (HHS), acting through the Office of Inspector General (OIG), and the Department of…
OIG Testifies on the Opioid Crisis in Federal Healthcare Programs
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) provided congressional testimony on the opioid crisis…
OIG Invites Proposals for Anti-Kickback Safe Harbors and Recommendations for Fraud Alerts
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) has published its annual solicitation of recommendations for…
Tips for Due Diligence In Healthcare: Mergers and Acquisitions
Mergers and acquisitions (M&A) have become commonplace in the healthcare industry. Some M&As are monumental in scope, but most relate…
New CMS Instructions for the 2-Midnight Rule
MACs given new directions on 2-midnight rule settlement agreements The Centers for Medicare and Medicaid Services (CMS) recently announced partial…
AHA Calls Upon CMS to Take Action to Address OIG Audits
Claims Flawed OIG Extrapolations and Overstatements of Repayment Demands In a letter to CMS, the American Hospital Association (AHA) requested that…
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…