Tips for Achieving Effective Compliance Program Operation.
Health care organizations face ever increasing regulations necessitating a proactive approach in compliance program execution to effectively mitigate the risk…
OIG Issues Report on OHRP’s Need to Communicate Whistleblower Protections.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a report on the Office…
OIG Issues Advisory Opinion on Use of Preferred Hospital Network in Medigap Policies.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an Advisory Opinion regarding the…
GAO Reports on Improper Medicare Advantage Payments.
The Government Accountability Office (GAO) recently testified about improper payments made to Medicare Advantage Organizations (MAOs) before Congress. The GAO’s…
OIG Issues Report on OHRP’s Independence in Conducting Research Compliance Activities.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently conducted a study on the Office…
OIG Reports on the Senior Medicare Patrol Program.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a memorandum report presenting 2016…
Provider Cost Report Audits are High Risk Compliance Areas.
The Medicare Cost Report (“Cost Report”) is one of the high risk areas that Compliance Officers often overlook. The OIG…
Best Practices for Health Care Organizations Regarding Whistleblowers.
Some health care organizations may be attempting to use expanded confidentiality and non-disclosure agreements to restrict whistleblower activity within their…
Tips on Using Compliance Culture as a Key Measure of Program Effectiveness.
Compliance culture is the set of shared attitudes, values, goals, and practices that characterizes an institution or organization when it…
HHS Announces Improved HIPAA Breach Reporting Web Tool.
The Department of Health and Human Services (HHS) Office for Civil Rights (OCR) recently launched the improved Health Insurance Portability…
OIG Alerts CMS to Inadequate Patient Abuse Oversight in Skilled Nursing Facilities.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued an ‘Early Alert’ memorandum to…
OIG Updates OIG Work Plan with Four New Projects.
The OIG recently issued four updates to its 2017 OIG Work Plan (“Work Plan”). The August updates include four new…