DOJ Reports 2024 Settlements and Judgements of $2.9B
Key Points: DOJ reported settlements and judgments under the False Claims Act that exceeded $2.9 billion in 558 cases during…
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.…
OIG’s 2022 Fall Semi-Annual Report Finds $4 Billion In Potential Savings
The OIG’s Semiannual Report to Congress (SAR), covering April 1 through September 30 of this year, projects nearly $4 billion in…
Compliance Ongoing Monitoring and Auditing
Join us for an upcoming Webinar! You can register here for a free CEU credited webinar, “Building Blocks for Effective…
Ongoing Monitoring vs. Ongoing Auditing
Key Points Compliance guidance documents from the Department of Health and Human Services Office of Inspector General call for ongoing…
Checklist for Addressing Ongoing Monitoring and Auditing
There remains considerable confusion among compliance officers regarding the proper management and ownership of monitoring and auditing functions. “Monitoring” is…
Quarterly reports to the board Audit & Compliance Committee: Tips
by Cornelia M. Dorfschmid, PhD, MSIS, PMP, CHC Cornelia M. Dorfschmid ([email protected]) is Executive Vice President & Managing Senior Consultant…
Tips for Ongoing Monitoring and Auditing of Compliance Risk Areas
Defining Roles for Managing Compliance Risk Areas The Department of Health and Human Services Office of Inspector General has repeatedly…
Monitoring and Auditing Methods for Effective Compliance: Best Practices for Leaders
A continuing major challenge for Compliance Officers is how to address ongoing auditing and monitoring of high-risk areas. The OIG…
Effective Auditing And Monitoring For Small Group Physician Practices
Gravely ill patients seeking urgent medical attention have often missed repeated opportunities to engage in preventative care — care that…
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…
Claims Processing Ongoing Monitoring and Auditing: Improves Revenue and Prevents Costly Errors
The Medicare administrative contractors (MACs) continue to question claims. The zone program integrity contractors (ZPICs) seek pattern errors suggesting fraud…