Margaret C. Scavotto, JD, CHC President, Management Performance Associates The Kansas Medicaid fraud and abuse complaint email inbox went unchecked for 17 months. According to a report issued by the Kansas Office of the Medicaid Inspector … [Read more...]
Joanne Chiedi Provides the Latest Thoughts From the Office of Inspector General at HHS [Podcast]
By Adam Turteltaub adam.turteltaub@corporatecompliance.org Joanne Chiedi, Principal Deputy IG and acting Inspector General at the US Department of Health and Human Services, recently addressed the attendees at the 2019 Compliance Institute. To … [Read more...]
Laura Ellis on the Measuring Compliance Program Effectiveness Resource Guide [Podcast]
By Adam Turteltaub adam.turteltaub@corporatecompliance.org In January 2017 the Health Care Compliance Association worked with the Office of Inspector General at the Department of Health and Human Services to host a roundtable. The goal was to … [Read more...]
2018 Compliance and Ethics Institute Session Previews: Session 607 What Are the OIGs – and Why You Should Care
By Daniel Coney, Assistant Special Agent in Charge, US Department of Interior, Office of Inspector General Fraud investigations, false claims, and debarment – oh my! The Office of Inspector General (OIG) celebrates their 40th anniversary this year, … [Read more...]
Jennifer Michael on the Latest Advisory Opinions and Directions from the Office of Counsel to the Inspector General at HHS [Podcast]
By Adam Turteltaub adam.turteltaub@corporatecompliance.org At the 2018 Compliance Institute in Las Vegas, Jennifer Michael was good enough to sit down for a podcast. Jennifer is the Chief, Industry Guidance Branch, Office of Counsel to the … [Read more...]
Shawn Degroot on Communicating with Regulators [Podcast]
By Adam Turteltaub adam.turteltaub@corporatecompliance.org Shawn DeGroot is not a big fan of waiting for the regulators to knock. Instead, she advises compliance officers to reach out to regulators proactively, even before anything goes wrong. By … [Read more...]
HHS Inspector General Dan Levinson Shares the OIG’s Latest Perspectives [Podcast]
By Adam Turteltaub adam.turteltaub@corporatecompliance.org On April 16, 2018 Daniel R. Levinson, the Inspector General at the Department of Health and Human Services once again returned to the stage for the HCCA Compliance Institute. As he has … [Read more...]
Fake Compliance
By Frank Ruelas Facility Compliance Professional, St. Joseph’s Hospital and Medical Center/Dignity Health Help me out here. Understand that if this may apply to you and your organization, it is by no means a negative comment but a genuine request … [Read more...]
Terminated by Medicaid in One State? No Problem (just apply in another state)
By Michael Rosen mrosen@providertrust.com Prior to the passage of the Affordable Care Act, if a provider was terminated from Medicaid enrollment/eligibility in one state it could easily slip through the cracks and enroll in another state. Most … [Read more...]
Can the Doctor Refer, Order or Prescribe?
By Michael Rosen mrosen@providertrust.com Seems like a simple question. But the answer may surprise you. There are three things that are needed for a referral to be legitimate and to avoid potential civil fines and penalties. 1. Does the … [Read more...]