Compliance Root Cause Analysis
DOJ Guidelines encourage seeking independent evidence of root cause identification and remediation. The Department of Justice (DOJ) has indicated that…
Nursing Home Compliance with Facility-Initiated Discharge Requirements
Compliance officers of skilled nursing facilities should include review of this compliance issue in their 2021 workplans. The Department of…
Standardizing Your Health Care Compliance Program Policies & Procedures can Lead to a More Effective Compliance Program
The Department of Health and Human Services Office of Inspector General (OIG) and the Department of Justice both have stressed…
2021: Time for Evidencing Compliance Program Evaluation?
Key Points: Full compliance program effectiveness evaluations. Compliance program gap analysis. Employee compliance knowledge or culture surveys. The Compliance Officer,…
Addressing and Investigating Conflicts of Interest
21 Tips for Compliance Officers Conflict of interest (COI) is a significant compliance risk area. The Department of Health and Human…
Compliance Investigations
The Department of Justice (DOJ) and Department of Health and Human Services Office of the Inspector General (OIG) stress the…
Documents That Support Effective Compliance Programs
Checklist of 21 Key Documents Reinforcement with key documents and metrics is key to an effective Compliance Program (CP). Any…
In 2021, Consider Meeting DOJ And OIG Guidance About Evidencing Compliance Culture
Key Points: OIG compliance guidance recommends evaluating all elements of a compliance program through employee surveys. Results of surveys early…
2021 OPPS and ASC Final Rule
The Centers for Medicare and Medicaid Services (CMS) published the Calendar Year (CY) 2021 Hospital Outpatient Prospective Payment System (OPPS)…
2021 Medicare Physician Fee Schedule Final Rule
The Centers for Medicare and Medicaid Services (CMS) has issued the final rule for the Calendar Year (CY) 2021 Medicare…
OIG Releases Final Rule on New and Amended Anti-Kickback Safe Harbors and CMP Exception
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently published a final rule to modify…
CMS Finalizes Changes to the Stark Law Regulations
Guest author Alexis Rose, JD provides insight and analysis on recently updated government regulations. The Centers for Medicare & Medicaid…