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The recent surge in healthcare fraud has prompted heightened enforcement of the Anti-Kickback Statute (AKS). Government agencies are cracking down on illegal financial arrangements that jeopardize patient care. This article explores the significance of AKS enforcement, the impact on healthcare providers, and strategies for compliance in an evolving regulatory landscape.
Compliance must build relationships with these healthcare functions – Legal, Internal Audit, Human Resources and Quality. Here are suggestions on how to effectively build relationships and collaborate with them to help achieve their goals.
Use Education and Influencer Skills to Create Value The stigma and complexities in behavioral health present compliance challenges that other healthcare organizations may not face.
Stigma and complexities of behavioral health create the need to minimize compliance risk through predictable processes, metrics, and the OIG’s 7 elements.
The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization. These best practices can help you establish a healthy compliance culture with effective training and measurement and, in turn, enable your organization to better manage and control risk.
Healthcare organizations should benchmark the DOJ Evaluation of Corporate Compliance Programs (ECCP) guidance (March 2023) to assess their compliance program.
How to use the OIG’s seven elements and HHS roadmap to guide Compliance and Operations – helping healthcare organizations ensure quality patient care post-PHE.
Changes to PHE waivers and recommendations for hospitals. Compliance must assist and advise on policy, process, contractual, and operational changes by May 2023.
Urine drug testing overpayments drove up to $216 million in overpayments to Medicare over five years, according to a recent OIG audit report.