In 2018, CMS released a report that set forth the results of their review of Medicare Advantage online provider directories. The review examined the accuracy of 108 providers and their listed locations selected from the ...
Enhancing Healthcare Compliance: Strategies for Program Improvement in a Changing Landscape

Conferences always provide food for thought and tips for how to think more deeply about my Compliance program and especially how to improve it. The Healthcare Compliance Association Compliance Institute held in April 202...
OFAC Website Significantly Enhanced to Improve Functionality and User Experience

On April 3, 2023, the U.S. Treasury Department’s Office of Foreign Assets Control announced the new OFAC website which is now hosted on a new domain - OFAC.TREASURY.GOV. In addition to the new location, OFAC has si...
The High Cost of Inaccurate Provider Enrollment for Nursing Homes

As providers of Medicare services, nursing homes rely heavily on the timely and accurate reimbursement from the government to ensure the provision of top-quality care to their residents. The negative financial implicatio...
Medicare expands mental health access to MHC and MFT practitioners

A recent and exciting CMS Medicare update for both benefit recipients and healthcare practitioners is that legislation that included expansion to mental health access was signed into law on December 29th, 2022. After sev...
CMS’ Home Care Compare Website to Display Disputed Survey Citations Prior to Resolution

CMS issued a memorandum regarding changes to the Nursing Home Care Compare website. Of particular note for home care facilities is the posting of preliminary survey findings of nursing facilities prior to final resolutio...
More CCO Skin in the Game Moving Forward

Chief Compliance Officers (CCOs) routinely take point on reaching resolution with state and federal regulators when addressing and settling cases related to regulatory or compliance violations. However, in 2022, the US D...
OIG’s Evolving Integrity Agreements

Recently, the OIG modified the provisions and requirements of several corporate integrity agreements (CIA). In addition to having direct impact on those organizations subject to such agreements, these changes also provid...
Updated Guidance on Exclusion Screening for New Jersey’s Medicaid Providers and Plans

In January of 2023, New Jersey issued new guidance regarding those databases that healthcare entities (including providers and managed care organizations) participating in NJ’s Medicaid program must query monthly to ve...