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…
Ten Tips For Leveraging Your Compliance Committee
Compliance officers have to be both strategic planners and fire fighters, all at the same time. However, senior executives should…
Refocusing the Compliance Paradigm
This article presents a logical, four-step process that will assist in meeting the seven elements of an effective compliance program.