Search Results: compliance expert
Congress Raises Concerns of Inadequate Patient Protection in Skilled Nursing Facilities
The House of Representatives Committee on Energy and Commerce (the Committee) sent a letter to Centers for Medicare and Medicaid…
2017 OIG Report on Medicaid Fraud Control Units
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its annual report on state…
How Outsourcing the Sanctions Screening Process Can Increase Efficiency
Challenges of Conducting Effective Sanction Screening While they may be rare, instances of fraud, waste, abuse and other illegal or…
DOJ Granston Memorandum on Evaluating Whistleblower Cases
Michael Granston, Director of the Department of Justice (DOJ) Civil Fraud Section, recently issued an internal “general framework” memorandum (“Granston…
Stark Laws Will Undergo Inter-Agency Review
The Centers for Medicare and Medicaid Services (CMS) Administrator recently announced plans to convene an inter-agency group to minimize the…
Report on 2017 OIG Hotline Activity
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) is mandated by law to provide a…
3244 New Exclusions Added to the LEIE in 2017
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued its second Semiannual Report to Congress…
Whistleblowers Accounted for 93% of Successful Fraud Recoveries in 2017
The Department of Justice (DOJ) Civil Division recently announced that it recovered over $3.7 billion from civil False Claims Act…
OIG Reports That CMS Generally Met Its Policy And Legal Requirements In Round Two Of The DMEPOS Competitive Bidding Program
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported its findings on the Durable…
The Data Security And Breach Notification Act Would Criminalize Failure To Timely Report Breaches
In response to delayed reporting of major breaches, senators introduced legislation that would subject executives to criminal prosecution for reporting…
CMS Reports 2017 Medicare Fee-For-Service Improper Payments Dropped Below 10 Percent
CMS recently reported a reduction in the rate of improper Medicare Fee-For-Service (FFS) payments from 11.0 percent in 2016 to…
Judge Strikes Down DOJ Case Against HCR ManorCare
The DOJ whistleblower (qui tam) False Claims Act case brought in 2015 against HCR ManorCare, which operates 281 skilled-nursing care…