CIAs: Roadmap to a Compliance Officer’s Annual Work Plan?
Corporate Integrity Agreements (CIAs), which certain healthcare organizations enter into with the Office of Inspector General (OIG) of the U.S.…
Corporate Integrity Agreements Mandate Boards to Retain a Compliance Experts
For several years, the OIG has gradually modified and enhanced CIAs to increase oversight and accountability of entities that agree…
Physician Practices that Sign Corporate Integrity Agreements Must Certify, Certify, Certify
Recent Corporate Integrity Agreements (CIAs) between physician practices and the U.S. Department of Health and Human Services Office of Inspector…
DOJ Announces $646 Million Settlement with Olympus Corporation of the Americas.
The Department of Justice (DOJ) announced that Olympus Corporation of the Americas (OCA) and its Miami-based subsidiary violated the Anti-Kickback…
Johnson & Johnson Agrees to Pay More than $2.2 Billion for Off-label Use and Kickbacks.
Johnson & Johnson (J&J) and its subsidiaries have agreed to pay more than $2.2 billion to resolve criminal and civil…
Meeting the Challenge of Corporate Integrity Agreements and Independent Review Organizations
Introduction The Department of Justice (DOJ) and the Department of Health and Human Services (HHS) Office of Inspector General (OIG),…
Corporate Integrity Agreements: IRO Review of Unallowable Costs
A Corporate Integrity Agreement (CIA) outlines the obligations an entity agrees to as part of a civil settlement with the…
WellCare Enters into Settlement with DOJ for False Claims Act Violations
WellCare Health Plans recently entered into a settlement agreement with the Department of Justice (DOJ) to resolve False Claims allegations. …
Independent Review Organizations: A Compliance Contract with the HHS Office of Inspector General
On April 12, Thomas Herrmann, a Strategic Management Vice President, held a joint presentation with Felicia Heimer, Senior Counsel, Office…
Systems Reviews versus Transaction Reviews — A Closer Look at a New Era of Mandatory Compliance
A New Era of Mandatory Healthcare Compliance Programs Compliance programs initially were voluntary in the healthcare industry. Eventually managed care…
Systems Reviews versus Transaction Reviews in CIAs: Takeaways for Compliance Officers
Most compliance officers do not have to face the scrutiny and challenges of operating a compliance program under a Corporate…
CIA Compliance And Independent Review Organizations: Where to Start in the Selection Process?
The heightened focus on health care fraud, waste, and abuse continues to evolve and steadily climb given political and fiscal…