OIG Report Highlights Hospital Strains Caused by the Pandemic
The Department of Health and Human Services Office of Inspector General (OIG) recently conducted a “pulse survey,” consisting of brief…
OIG Reviews Find Improper Documentation for Telemedicine Services
Key Points: The OIG is auditing state compliance with federal and state telemedicine requirements. An audit of South Carolina’s telemedicine…
HHS OIG Speaks Out on Telehealth Fraud
Christi A. Grimm, the Principal Deputy Inspector General of the Department of Health and Human Services (HHS), issued a statement regarding telehealth…
Nursing Home Compliance with Facility-Initiated Discharge Requirements
Compliance officers of skilled nursing facilities should include review of this compliance issue in their 2021 workplans. The Department of…
OIG Releases Final Rule on New and Amended Anti-Kickback Safe Harbors and CMP Exception
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently published a final rule to modify…
$50 Million Anti-Kickback and Stark Law Settlement
Key Points: Physician Arrangements continue to be the highest enforcement priority for the DOJ and OIG “Whistleblower” to receive $10,000,000…
Exit Interviews as Another Significant Communication Channel
Understanding the Objectives, Challenges, and Use of Exit Interviews Is Critical One of the first things the Federal Bureau of…
Navigating an integrity agreement with the OIG: A resource for practitioners
By Cornelia Dorfschmid and Nicole Caucci Cornelia Dorfschmid ([email protected]) is Executive Vice President at Strategic Management Services, LLC in Alexandria, VA.…
Proposed Rule Changes for Stark Law and Anti-Kickback Statute
The stated purpose of this proposed rule change is to protect value-based payments, coordinated care, and patient engagement. This will…
CMS Proposes Changes to the Stark Law Regulations
The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule to reduce the regulatory impact and burden…
Summary of Last Year’s Health Care Enforcement Actions
For the 2018 fiscal year, the Department of Health and Human Services Office of Inspector General (OIG) recently reported results…
OIG Publishes Annual Report on Top 25 Unimplemented Recommendations
The Department of Health and Human Services (HHS) Office of Inspector General (OIG) recently issued its annual report on solutions…