DOJ and HHS Announce $1.3 Billion Health Care Fraud Enforcement Action.
The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) recently announced the largest Medicare Fraud…
Tips and Tools for Co-Sourcing Compliance Program Functions.
Compliance Officers are facing mounting regulatory and internal demands, while equipped with inadequate resources to meet all of these challenges.…
Tips for Choosing a Compliance Hotline Vendor.
Effective compliance programs should include a compliance hotline, by definition. Both the United States Sentencing Commission and the Department of…
OIG and HCCA Issue Resource Guide for Measuring Compliance Program Effectiveness.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued a resource guide (“Resource Guide”)…
Tips for Effective Sanction-Screening.
Attorneys have frequently advised clients who want to appeal the Department of Health and Human Services (HHS) Office of Inspector…
Tips for Addressing Compliance High-Risk Areas.
Compliance Officers have the significant challenge of addressing the numerous compliance high-risk areas through ongoing monitoring and independent auditing. For…
DOJ Issues New Guidance on Corporate Compliance Program Evaluations.
The Department of Justice (DOJ) recently issued guidance on the effectiveness of corporate compliance programs. The guidance lists important topics…
OIG Reports Recent Self-Disclosure Cases.
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently reported several self-disclosure cases that were…
Evolving Expectations in Corporate Integrity Agreements.
For over 20 years, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) has been informing…
CMS Issues Report on 2017 Managed Care Star Ratings.
The Centers for Medicare & Medicaid Services (CMS) recently published the Part C and D Star Ratings to measure quality…
DOJ Issues Interim Final Rule Increasing False Claims Act Penalties.
The United States Department of Justice (DOJ) recently published an interim final rule adjusting certain civil monetary penalties (CMPs) for…
Remembering Our Friend William Moran
It is with great sadness that our dear friend, mentor, and colleague, William (“Bill”) Moran, passed away after a long…