Search Results: conflict of interest
OIG Adds Eleven New Work Plan Items for February.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued eleven updates to its Active…
Defining Healthcare Compliance
In today’s climate of growing regulatory scrutiny, many organizations are focusing on developing strong compliance programs. The first step for…
Compliance Program Effectiveness Evaluation: Scope and Expectations
Reprinted from Wolters Kluwer‘s Kusserow on Compliance Blog With the New Year upon us, it may be time to consider…
Update on Corporate Integrity Agreements
Compliance Program Reviews and Compliance Experts HHS OIG has recently demonstrated a new trend in Corporate Integrity Agreements (CIAs) it…
OIG Advisory Opinion No. 15-14
The OIG issued an advisory opinion regarding a non-profit, tax-exempt, charitable organization’s (“Requestor’s”) program (the “Arrangement”) to help financially needy…
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…
Meeting the Challenge of Corporate Integrity Agreements and Independent Review Organizations
Introduction The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG),…
Selecting an IRO
How to Select Your Independent Review Organization (IRO) There are currently over 300 active Corporate Integrity Agreements (CIAs) that have…
Statistics in Healthcare – Friend or Foe? – Taking the Compliance Office’s Perspective
Growing Importance of Statistics in Compliance Enforcement Data analytics, data mining, overpayment extrapolation using statistical concepts including sampling, and the overall…
Healthcare Risk Management: Ten Risk Categories for the Four-Step Process
From cybersecurity and regulatory changes to workforce shortages that make it harder for hospitals to fulfil their staffing needs, the…
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…
Mock Compliance Audits
What, Why, Who, Where, When, How Organizations face complex regulatory and legal requirements in today’s highly regulated, ever-changing healthcare environment.…