IntroductionUnder Sections 1128 and 1156 of the Social Security Act (the “Act”), the Office of Inspector General (“OIG”) of the U.S. Department of Health and Human Services (“HHS”) has authority to exclude fr...

Healthcare businesses — hospitals, medical practices, health insurers, medical device manufacturers, and the like — live in a world of heavy regulation. That regulation comes from the Office of the Inspector General ...

Based on OIG guidance from the United States Department of Health and Human Services Office of Inspector General (“OIG”), this article serves as a guide for non-profit, tax-exempt organizations under Section 501(c)(3...

The exact steps for a provider or medical director of a hospice to enroll or opt-out of Medicare may vary, but generally, the process involves the following steps: Determine eligibility: Ensure that the provider or m...

A New Era of Enhanced Safety and Accountability Effective January 1st, 2024, Washington's in-home care landscape will undergo a transformative shift towards enhanced safety and accountability. The implementation of st...

The Office of Inspector General (OIG) today updated the LEIE Downloadable List – an addition of a staggering 403 new names to the Exclusion List. This marks the highest number of new entries for the entire year of 2023...

At the recent Health Care Compliance Association (HCCA) HECC Conference in Washington, D.C., the Office of Inspector General (OIG) made a significant move toward enhancing compliance without introducing major industry ch...

In today's rapidly changing world, staying informed about the latest trends in the job market is essential for professionals across various industries. One sector that has undergone significant transformations is healthc...

Audit, continuous monitoring and review - and associated improvements - are key expectations in our Compliance programs.  Here are three areas to review if you've not re-visited these aspects of your program in a wh...