Compliance Programs for Small Healthcare Entities
Key Points: All healthcare organizations, large and small, are expected to have a compliance program that meets the seven standard…
Physician Arrangements Fair Market Value (FMV)
The ongoing and increasing enforcement actions related to arrangements with referral sources require Compliance Officers to pay close attention to…
A Guide to Choosing the Right Compliance Consultant
Selecting the right consultant with the needed expertise and cultural alignment. When seeking a consultant’s help to address compliance challenges…
Behavioral Health Enforcement
Key Points: Following the COVID-19 pandemic, there has been a great spike in behavioral health services and a corresponding rise…
Understanding the Compliance Risk Assessment Framework (RAF)
Every healthcare organization understands the importance of risk management, but most do not have a solid foundation for their programs.…
OCR Reports Increase in Large Settlements of Ransomware Breaches
Tips and steps to mitigate risks The Office of Civil Rights (OCR) has reported a growing number of large ransomware…
OIG On Financial Arrangements
The majority of healthcare fraud enforcement actions by the Department of Justice (DOJ) and Office of Inspector General (OIG) have…
Cost Effective Temporary Compliance Officer Staffing
Key Points: A Compliance Officer’s departure may leave an organization without management of its compliance program, and no health care…
The Difference Between Governance and Day-to-Day Management
It is not unusual for a conflict to arise concerning the degree to which the Compliance Officer is accountable to…
Court Strikes Down HIPAA Web Tracking Guidance
In a case brought by the American Hospital Association (AHA), the U.S. District Court for the Northern District of Texas issued…
HHS OIG Spring 2024 Semi-Annual Report
The Department of Health and Human Services, Office of Inspector General (OIG) is legally mandated to provide semiannual reports to…
Compliance Reporting to Legal Counsel is Not Prohibited, but is Problematic
Key Points: Without question, both the Compliance Officer and Legal Counsel perform crucial, related, but distinctive functions that sometimes raise…