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Highlights from the OIG’s Fall 2021 Semi-Annual Report to Congress

January 14, 2022

On December 2, 2021, the Office of Inspector General (OIG) of the Department of Health and Human Services (HHS) issued its Semiannual Report to Congress for fiscal year 2021 (Report). The Report describes OIG’s work id...

Apache Log4j Vulnerability – What You Need to Know

December 21, 2021

Background On December 9, 2021, security researchers discovered a flaw (also referred to as a vulnerability) in the code of a software library used for logging security and performance information. The Apache software...

The Role of Delegated Entities in Exclusion Screening

December 14, 2021

Under federal law, Medicare Advantage plans and Part D plan sponsors may delegate administrative or healthcare service functions to third parties, such as a medical group, pharmacy benefit manager, claims administration ...

OIG’s 2021 Top Management & Performance Challenges Facing DHHS

December 9, 2021

Introduction The 2021 Top Management and Performance Challenges Facing HHS is an annual publication of the Department of Health and Human Services (DHHS) Office of Inspector General (OIG). The OIG has identified six t...

The Continuing Rise in Drug Compounding Fraud

November 30, 2021

When most people think about pharmaceutical fraud, they may envision pharmacy staff shorting a prescription to pocket a few pills and then overcharging the patient, or taking pharmacy inventory to sell on a shady interne...

Employers – Dig Deeper! The Role of Abuse Registries in Employee Screening

November 24, 2021

There are specific screening requirements for health care employers who receive federal funds as participants in federally-funded health care programs, but screening against abuse registries is an often-overlooked resour...

Fun and Smart Ways to Celebrate Compliance & Ethics Week

November 1, 2021

Adhering to compliance standards protects all consumers of healthcare services and ultimately enables the delivery of the highest levels of healthcare across the country. An annual Compliance Week provides a great opport...

Exclusions Due to Overpayments – Cautionary Tales

October 25, 2021

While it seems unlikely that an organization’s mail management can result in exclusion from a federally funded program, many errors seem to be causing major headaches for well-intentioned, high- performing organization...

Vendor Management is a Risky Business

October 18, 2021

Screening employees and potential hires against federal and state exclusion lists can be relatively straightforward if an organization’s HR department maintains current employee data and utilizes the services offered b...

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