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Recent Posts:
- FDA user fees reauthorized by House vote
- Compliance programs should keep a sharp eye on all communications
- Kusserow on Compliance: Human resources management compliance jurisdiction
- Feds allege 412 individuals responsible for $1.3B in Medicare fraud
- Hospital compliance programs need to integrate explanted device policy
- Group purchasing organizations reduce costs while reducing the risk of fraud
- Economic, job losses predicted with BCRA
- CDC urges providers to consider risks of opioid treatments
- Kusserow on Compliance: OIG issues first 2017 Semi-Annual report—1,422 exclusions in first half of 2017
- Wait! Physicians are not ready for the QPP
- Fraud perpetrators receive lengthy prison sentences for false claims, kickbacks
- Wolters Kluwer Announces White Paper Series on Healthcare Legislation
- Kusserow on Compliance: Cyber Security—21 Practical Safeguarding Tips
- CMS updates Medicaid eligibility and payment oversight programs
- Proposed American Health Care Act could have negative financial impact on safety-net hospitals
- Wolters Kluwer Holiday
- Kusserow on Compliance: OIG proposed budget for 2018 cites accomplishments
- Applying lessons learned when conducting FCA investigations after Escobar
- Repeal of ACA pre-existing condition rules could leave millions of newly insured without coverage
- House Committee urged to extend funding for federal safety net programs
- Kusserow on Compliance: EHR incentive program attestation is serious business
- 340B a small program with tricky compliance field
- Kusserow on Compliance: OCR has a record number of significant settlements so far in 2017
- Webinar gives tips on navigating physician peer review process
- Energy and Commerce committee unanimously approves FDA reauthorization
- Webinar gives tips on improving next eCQM submissions
- Kusserow on Compliance: OIG Work Plan now being updated monthly
- Billions in ‘transfers of value’ to physicians, hospitals by industry get DOJ attention
- Health practices expand, AHLA names new president
- Kusserow on Compliance: HHS OIG reports on identified improper payments
- Senate committee works to understand balance between drug innovation, affordability
- HHS Sec. Price: Trump’s FY 2018 budget does not ‘confuse spending with success’
- Medicaid’s role in low income individuals access to mental health services
- Kusserow on Compliance: Filling a staffing gap in compliance
- How the AHCA directly impacts significant parts of the ACA
- Kusserow on Compliance: Summary of OIG fraud and abuse actions first half of 2017
- Maximum sentence for head of Houston Medicare fraud scheme
- Mental health services provider enters into $4M FCA settlement
- Kusserow on Compliance: FBI on cybersecurity—advice and tips
- EpiPen® misclassification cost $1.27B over 10 years, says OIG
- CMS moves ahead with new Medicare cards
- Kusserow on Compliance: OIG issues detailed report on state Medicaid Fraud Control Units
- ACA changes contributed to slow in health care expenditures, study finds
- Medicaid block grants would pose challenges for states
- Specialists, former government officials augment litigation and health practices
- Wolters Kluwer Holiday
- Kusserow on Compliance: 4 out of 5 organizations under 1,000 employees overpay for their hotline
- Challenges ahead for next generation of bundled payments
- DOJ focus is on ‘egregious’ and ‘despicable’ health care fraud
- Kusserow on Compliance: Senior executive exposure to liability for failing to embrace compliance
- CPC+ Round 2 taking applications from Louisiana, Nebraska, North Dakota, and Buffalo NY practices
- Anthem, Cigna call off merger, maybe mooting pending SCOTUS petition
- Kusserow on Compliance: OIG and DOJ raising stakes on board compliance obligations
- Former ALJ pleads guilty for role in $550 million scam
- AGs request Medicaid policy change to fight in-home elderly abuse, neglect
- Kusserow on Compliance: Focus group meetings provide valuable information about compliance program effectiveness
- Medicaid waiver applications test new administration’s policies
- Gottlieb confirmed as FDA Commissioner
- Kusserow on Compliance: Using culture surveys to measure compliance program effectiveness
- ‘Fatigued’ providers must concentrate on complying with two-midnight rule
- Seniors, disabled could find services impacted by per capita caps
- FTC nails opiate withdrawal supplement company for misleading statements
- Kusserow on Compliance: Engaging experts to supplement and assist compliance offices
- ACA’s Medicaid expansion helped hospitals get paid $6B more
- U.S. intervenes in UnitedHealth billing scheme suit
- Kusserow on Compliance: Tips for getting the most from your CIA
- Medical device stakeholders give House feedback on 4 separate bills
- HHS to receive $73.5B under House funding bill, ACA left out
- Hospices see modest payment increase, new clinical doc reporting for FY 2018
- Hospitals falling short on implementing bar code medication administration
- Kusserow on Compliance: More details on new DOJ corporate compliance guidelines
- HELP committee advances public health bills
- False promises rebuked by FDA, no tea or vitamin can cure cancer
- Highlight on Alaska: FTC, DOJ back Alaska Senate’s move to eliminate certificates of need
- Kusserow on Compliance: Compliance officers should have active roles in CIA negotiations
- Adoption of annual wellness visits increasing at a moderate rate
- 8 years of illegal kickbacks costs Hospice Plus $12M
- HHS developing new system to speed PRRB, other appeal processes
- FDA opens toolbox for imported food oversight
- Preventing and fighting surprise medical billing: steps consumers should take
- Kusserow on Compliance: New analysis of OCR reports found 1800 large breaches over 7 years
- Trump administration disperses $485M in opioid fight
- Webinar provides multiple perspectives on FCA cases
- Highlight on Pennsylvania: Better Medicaid spending through technology
- Kusserow on Compliance: Appealing exclusions–practical advice
- CMS solicits applications for Rural Community Hospital Demonstration
- Experts weigh in on LTC requirements for patient care, provider compliance
- AMA preparing to tackle questions surrounding physician-patient texting
- OMHA trying to speed claims appeals process
- 23andme approved to market 10 genetic risk tests, FDA simplifies pathway for more
- Kusserow on Compliance: Meeting sanction-screening requirements
- Physician practices get tips for effective communication, training, vetting
- Leapfrog names the ABCs of hospital-acquired conditions
- Highlight on Wisconsin: Medicaid waiver could be first of its kind
- Kusserow on Compliance: Compliance culture a key measure of program effectiveness
- States try to manage expectations for Medicaid managed care
- OIG reviews MassHealth and its Medicaid data and information system safeguards
- Equities rest with agency in administrative enforcement actions
- CIAs contain lessons for compliance professionals & board members
- Owner of compounding company at the center of the 2012 meningitis outbreak acquitted of murder
