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…
Best Practices for Maintaining an Effective Ethics And Compliance Hotline
Benefits of Maintaining an Ethics and Compliance Hotline The U.S. Department of Health and Human Services, Office of Inspector General…
Advice from the Experts Plus 27 Tips for Effective Witness Debriefs During Investigations
At some point during their internal compliance investigations, compliance officers may need to debrief witnesses. Successful witness debriefs require a…
Selling Compliance to All Stakeholders
Major Challenges for Compliance Officers Compliance officers are not tasked solely with developing the seven standard elements of a compliance…
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…
Staffing Interim and Temporary Compliance Officers
No healthcare organization can afford the risk of a Compliance Officer “gap” Compliance programs may rapidly degenerate without someone being…
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…