Special Advisory Bulletin on the Effect of Exclusion From Participation in Federal Health Care Programs
The scope and use of the federal program exclusion authority continues to evolve. The DHHS OIG issued on May 8,…
Tips for a New Managed Care Compliance Officer
One of the great hurdles for someone moving into a new position is meeting the expectations of those who hired…
Your Records Management Compliance Audit Checklist: Developing A Solid Compliance Records Management Program
What type of compliance records management system is utilized by your organization? According to the U.S. Department of Health and…
OIG, EHR, and Audit Logs: Thinking Ahead
Electronic health records systems (EHRs) replace traditional paper medical records with computerized record-keeping to document and store patient health information…
Compliance Program Structure: Developing Policies And Procedure
Development, implementation and dissemination of written healthcare compliance policies and procedures are key compliance program elements. Such documents include policies…
Leveraging Healthcare Compliance Tools To Supplement Your Compliance Program
Responsibilities handled by Compliance Officers have grown in demands and complexity. More recently, many Compliance Officers have been given the…
OIG Increases The Number Of Exclusions By 25 Percent In Fiscal Year 2014
On October 31, the Department of Health and Human Services Office of Inspector General released their fiscal year (FY) 2015…
OIG’s Third Quarter 2014 Enforcement Actions Against Organizations That Hire Excluded Individuals
While many take off and enjoy the beautiful weather of the summer, the Department of Health and Human Services Office…
Healthcare Outsourcing Trends: Advantages Of Outsourcing Healthcare Compliance
One of the most significant healthcare outsourcing trends is the movement to outsource activities not directly involved in the core…
UPICs are coming: Will you be ready?
Currently, the Centers for Medicare & Medicaid Services (CMS) use separate Medicare and Medicaid integrity contractors to predict, detect, prevent,…
Claim Processing in Healthcare: Steps for Effectively Monitoring, Billing, and Auditing to Manage Risk
Today, healthcare providers face increasing scrutiny of their claims processing system by regulatory agencies and auditors. Incorporation of claim processing…
Lessons Learned from the Two-Midnight Rule: Compliance Tips for Short Stay Claims Reviews
Over the past year, there has been a growing controversy over the impact the Two-Midnight Rule will have on hospitals…