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Recent Posts:
- Kusserow on compliance: OIG report on Medicare payments for clinical diagnostic lab tests
- Rural hospitals hit hard by reductions in Medicare disbursements, declining population
- Kusserow on Compliance: Time running out for nursing and long term care providers’ development of mandated compliance programs
- Kusserow on Compliance: GAO calls for strengthening oversight of Managed Care organizations
- Kusserow on Compliance: CMS increases audits to address Medicaid fraud and abuse
- Kusserow on Compliance: DOJ establishes new Medicare Strike Force for the Newark/Philadelphia area
- Hospitals pay nearly $1 million over ABC television documentary
- Kusserow on Compliance: Stark law to undergo interagency review
- Kusserow on Compliance: OCR releases new guidelines on software vulnerabilities and patching
- Kusserow on Compliance: Conducting compliance risk assessments
- Kusserow on Compliance: Tips on developing and revising the ‘Code of Conduct’
- Kusserow on Compliance: The challenge of protecting PHI
- Kusserow on Compliance: Nine tips for compliance officers—addressing high-risk areas
- Kusserow on Compliance: GAO calls for CMS to mitigate program risks in managed care
- Kusserow on Compliance: DOJ Policy for continued antitrust enforcement DOJ
- Healthcare.gov enrollment declines; plan affordability a factor
- Kusserow on Compliance: Staffing of interim compliance officers
- Kusserow on Compliance: Exit interviews as a compliance communication channel
- Prohibition on paid referrals not limited to ‘relevant decisionmakers’
- Kusserow on Compliance: July/August 2018 Work Plan updates
- Kusserow on Compliance: Congressional hearing on Medicare fraud
- Kusserow on Compliance: Inappropriate denial of services and payments in the Medicare Advantage program
- Kusserow on Compliance: OIG report on vulnerabilities in the Medicare hospice program
- Kusserow on Compliance: U.S. Sentencing Commission Federal Register Notice seeking public comment
- Kusserow on Compliance: OIG provides Medicaid fraud and overpayment update to Congress
- Kusserow on Compliance: OIG toolkit for calculating opioid levels and opioid misuse risk
- Device manufacturer’s misrepresentations result in $12.5M FCA settlement
- Kusserow on Compliance: CMS releases Medicaid bulletin addressing opioid crisis
- Kusserow on Compliance: Four physicians charged in $200M prescription fraud scheme
- Important news for IntelliConnect customers
- Kusserow on Compliance: HHS OIG Spring 2018 semi-annual report on sanctions and exclusions
- Draft guidance seeks to make drug labels clear, concise, more consistent
- Kusserow on Compliance: OIG Attorneys continue cross-designation with DOJ
- Kusserow on Compliance: OIG testifies on investigative results over last three years
- Kusserow on Compliance: OIG Work Plan items for May 2018
- No abuse of discretion pill mill trial procedure, sentencing vacated and remanded
- Kusserow on Compliance: DOJ ‘Brand’ memorandum
- Kusserow on Compliance: OIG cases involving sanctioned parties and tips to avoid violations
- Kusserow on Compliance: OIG testimony highlights opioid crisis actions
- CBO projects federal subsidies for health insurance coverage
- Kusserow on Compliance: Three new projects added to the OIG Work Plan in April
- Kusserow on Compliance: A definition of health care compliance
- Kusserow on Compliance: HIPAA enforcement update
- Kusserow on Compliance: Using sanction-screening tools vs. outsourcing the entire process
- Kusserow on Compliance: Human resources compliance—update on EEOC investigations
- Kusserow on Compliance: Emerging government enforcement priorities for 2018
- Health Law Hot Topics Webinar Series
- Kusserow on Compliance: Tips on what to expect from hotline vendors
- Burden on submitter of quality data to verify successful transmittal
- Kusserow on Compliance: Temporary staffing and interim compliance officers
- CY 2019 Medicare Part C and D policy changes and updates finalized
- Kusserow on Compliance: CMS and Veterans Affairs partnering to address fraud and abuse
- Kusserow on Compliance: CMS improperly paid $367M for outpatient physical therapy
- Kusserow on Compliance: Stark Law continues to be questioned
- Kusserow on Compliance: Addressing the risk of whistleblowers
- Kusserow on Compliance: Measuring the compliance culture
- Kusserow on Compliance: OIG opinion on the effect of exclusion
- Kusserow on Compliance: Changes in the Stark Law
- CBO, JCT share methods for analyzing legislative proposals impacting health insurance coverage
- Kusserow on Compliance: Ongoing auditing and monitoring of high risk areas—16 tips for compliance officers
- Perfecting cybersecurity through better training and testing
- Kusserow on Compliance: Employee screening against the Specially Designated Nationals and Blocked Persons list
- Kusserow on Compliance: OIG summarizes investigative accomplishments from last three years
- Medicaid and CHIP are catching uncovered kids, the ACA helps
- Kusserow on Compliance: Physicians must comply with sharing patient information
- MACPAC suggests Congress authorize states to mandate managed care
- Kusserow on Compliance: OIG estimates $4.4B in savings in 2017
- Kusserow on Compliance: OIG report on 2017 Hotline activity
- 10-Year CHIP extension would save $6B
- Kusserow on Compliance: OIG adds six new projects in December to its Work Plan
- Eliminating individual mandate lowers cost of CHIP funding
- Kusserow on Compliance: DOJ reports more than two-thirds of $4B civil fraud recoveries in 2017 from health sector
- Kusserow on Compliance: Recap of the OCR’s 2017 HIPAA enforcement
- Kusserow on Compliance: Using experts to staff gaps in the compliance office
- Report shows management of CMS payment program shows vulnerabilities
- Kusserow on Compliance: OIG November 2017 Work Plan update
- Personal service care fraud; a growing problem for Medicaid
- Kusserow on Compliance: GAO expects increase in fraud investigations in 2018
- Kusserow on Compliance: The value of surveying compliance professionals
- Breakthrough cancer detection device gets parallel FDA, CMS review
- Kusserow on Compliance: Getting ready to evidence program effectiveness in 2018
- New law stops potential criminalization of EMS ‘standing orders’ for timely controlled-substance use
- Kusserow on Compliance: OIG report on research compliance through OHRP
- Happy Thanksgiving
- Kusserow on Compliance: Controls working to prevent Medicare Advantage capitation payments after beneficiaries’ death
- CMS cut to 340B spending overshadows OPPS update; associations threaten suit
- Kusserow on Compliance: Health care mergers and acquisitions due diligence
- CMS strategies to reward Medicaid providers that improve care and lower costs
- Kusserow on Compliance: Use of temporary compliance and privacy officers
- Health care regulatory burdens costs $39B per year, AHA says
- Report finds flaws in proposals for premium support programs in Medicare
- Kusserow on Compliance: Questions Boards should be asking their compliance officer
- Doctor, nurse indicted for fraudulent schemes involving unnecessary compounded medications
- What compliance professionals should know about auditing physician compensation arrangements
- New York dietary supplement maker accused of failing to comply with cGMP regulations
- Behavioral health fraud perpetrators plead guilty to $1M Medicaid scheme
- CMS, FDA provide support in response to natural disasters
- Kusserow on Compliance: October 2017 Work Plan update
- Despite uncertainty about ACA most states moving forward with Medicaid expansion
- Expiration of federal funding threatens state CHIP programs
