“It behooves all healthcare compliance professionals to be aware of the fraud, waste and abuse risks associated with telehealth services. This mode of delivery holds great promise. For it to fulfill that promise, non-compliance needs to be rooted out and corrected.”
Continue readingComplexities of Covered Entities and Business Associates
Due to their violations of patient rights, covered entities and business associates are now facing increasing enforcement actions. In a breach, both parties bear financial and reputational risk. Shawn DeGroot recommends proactive compliance officers prioritize their agreements based on risk, establish communication channels, and collaborate on risk analysis to protect their organization.
Continue readingAnti-Kickback Statute Enforcement in Healthcare
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.
Continue readingNew DOJ Guidance on Compliance Programs Released March 2023
Healthcare organizations should benchmark the DOJ Evaluation of Corporate Compliance Programs (ECCP) guidance (March 2023) to assess their compliance program.
Continue readingPost-PHE Preparations: Ensuring Quality Patient Care
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.
Continue readingPreparing for the End of the Public Health Emergency
Changes to PHE waivers and recommendations for hospitals. Compliance must assist and advise on policy, process, contractual, and operational changes by May 2023.
Continue readingFederal and State Agencies Preview 2023 Enforcement Trends
The MHA’s Healthcare Legal Compliance Forum Federal and State Enforcement Update in Dec. 2022 looks at Stark law violations, turbocharging, and 340b programs.
Continue readingSanctions and penalties for hiring excluded individuals in healthcare
Enforcement Actions: Sanctions and penalties for hiring excluded individuals in healthcare. Why is it crucial to avoid the risk of hiring excluded individuals? List of Excluded Individuals/Entities (LEIE)
Continue readingRight-of-access enforcement actions help patients control their health information
Three corrective action plans demonstrate OCR’s expectations for HIPAA compliance. Equip the patient-facing team to meet OCR’s HIPAA Right of Access Initiative
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