New OIG Guidance For Health Care Boards
On April 20, 2015, Dan Levinson, the Department of Health and Human Services (HHS) Inspector General (IG), announced the issuance…
OIG Issues Advisory Opinion That Exclusive Lab Referrals Arrangements May Be a Kickback
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued Advisory Opinion 15-04 stating that a…
Corporate Integrity And Unallowable Costs
A Corporate Integrity Agreement (CIA) outlines agreed upon obligations, as part of a civil settlement, made in exchange for the…
OIG Requires Independent Review Organizations (IROs) To Meet GAO Standards
A high percentage of the Corporate Integrity Agreements (CIAs) negotiated by the Department of Health and Human Services (HHS) Office…
Where To Begin The Independent Review Organization (IRO) Review Process
The Office of Inspector General (OIG) has negotiated hundreds of Corporate Integrity Agreements (CIAs). Under a CIA, a provider or…
16 Tips In Compliance Co-Sourcing
Compliance Offices must contend with a host of competing external regulatory requirements and internal demands. In order to meet these…
Common Features Among Corporate Integrity Agreements
The rise in enforcement actions focused on health care fraud by the Department of Justice (DOJ) has led to an…
Evidence Your Compliance Program Is Effective With Reliable Benchmarks
It is becoming a common practice for executive leadership and Board of Directors (Board) to request evidence of compliance program…
Co-sourcing: New Trend For Compliance Officers
Compliance Officers are confronted with a host of competing external obligations and internal demands. Most Compliance Officers would admit that…
How to Select a Compliance Hotline Vendor
The U.S. Sentencing Commission and Department of Health and Human Services (HHS) Office of Inspector General (OIG) call for compliance…
Corporate Integrity Agreement (CIA) Negotiation Tips
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) is currently monitoring over 300 active Corporate…
Gaining Board Empowerment for the Compliance Program (Part III – Auditing and Monitoring)
One of the greatest challenges for Compliance Officers lies in gaining interest and support at the executive and board levels.…