A speak-up culture is earned. Invest time with colleagues across your healthcare organization. Develop open lines of communication for effective compliance.
Continue readingTwo tips for enabling a speak-up culture in your healthcare organization
Compliance Committee Engagement
Healthcare compliance committees offer the operational impact of compliance activities and drive culture. Four strategies to improve engagement-Jay Anstine
Continue readingTelehealth Enforcement
The increase in telehealth services by Medicare beneficiaries drives more scrutiny, audit, and enforcement actions by the Office of the Inspector General (OIG).
Continue readingBeneficiary inducements…don’t cross that line
Illegal beneficiary inducements include: free insulin, deflated Medicare copayment, courtesy adjustments for injections, free glucometers and waived co-payments
Continue readingBeneficiary inducement rule changes promote coordinated care
The OIG’s Beneficiary Inducement Final Rule is part of HHS Regulatory Sprint to Coordinated Care – Advancing the transition to value-based care.
Continue readingRelaxed beneficiary inducement rules address pandemic need
Rules relaxed for arrangements directly connected to COVID-19. OIG considers intention of incentives under the beneficiary Inducement rules.
Continue readingHow to Align Physician Satisfaction and Compliance
Fraud is still a very real issue across the relationships between physicians and hospitals Is it possible to align physician satisfaction and compliance? According to Gail Peace, President of Ludi Inc., “Regardless of the physician being independent or employed by a hospital, there are a myriad of regulations to navigate in these relationships.” She […]
Continue readingHighlights from OIG’s Semi-Annual Report to Congress
Late last week, the HHS OIG made available its semi-annual report to Congress summarizing OIG activities occurring from October 1, 2017 to March 31, 2018. As one might expect, OIG continues to commit resources to enforcement-related activities and to improve its data analytics capabilities. A few of the “headlines” from an enforcement perspective include: Criminal […]
Continue reading