Co-sourcing as a Means to Meet Increased Compliance Burdens
Compliance offices must contend with a host of competing external regulatory requirements and internal demands. These challenges are growing with…
Effective Compliance Training for Small Physician Practices
To date, most smaller physician practices have not taken the time or effort to develop a compliance program, long advocated by…
Tips on Developing Compliance Policies and Procedures
The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) has issued a number of compliance program…
Measuring and Benchmarking Compliance Program Effectiveness
One of the best, but least utilized, tools for evaluating compliance program effectiveness is the use of employee surveys; not just any surveys but…
EPLS Migrates to SAM with Little Fanfare
It May Take Time to Get Familiar with the New System and Its Nuances With little fanfare, the General Services…
Is Healthcare Compliance Outsourcing an Option for Your Compliance Program?
Under the Affordable Care Act, CMS has been charged with developing mandated Healthcare Compliance Program (CP) standards that will be…
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…
One Strategy for Rapidly Developing an Effective Compliance Program
For years, there has been a legal and regulatory mandate for managed care organizations (MCOs) to have an effective compliance program — but now the…
New Compliance Officers Should Not “Buy a Pig in a Poke”
New compliance officers often inherit a host of problems. This article talks about how to avoid assuming ownership of these…
Meet Richard Kusserow, Former HHS Inspector General, CEO of Strategic Management
Richard Kusserow is the former Inspector General for the Department of Health and Human Services (HHS) and is CEO of…
Outsourcing Compliance in Light of Health Care Reform
To the extent that a provider or supplier does not have the necessary internal resources, getting compliance outsourcing assistance may be an appropriate…
New Charging Guidelines Underscore the Importance of Cooperation and Evidencing Program Effectiveness
A periodic independent audit or evaluation of the compliance program’s effectiveness is critical. This cannot be done credibly by the compliance…