The healthcare compliance landscape is one of perpetual evolution, shaped by the ever-changing regulatory environment and enforcement practices. At the core of ensuring compliance within federal healthcare programs lies ...
New OIG Opinion on Patient Assistance Programs: A Checklist for Maintaining a Compliant PAP

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...
Your Guide to Navigating Medicare Enrollment as a Hospice Provider

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...
Unprecedented Surge in OIG Exclusion List: A Closer Look

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...
OIG’s General Compliance Program Guidance

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...
VIDEO PODCAST: Navigating the Healthcare Job Market

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...
Pennsylvania Joins Other States in Regulating Health care Staffing Agencies

On November 3, 2022, Gov. Tom Wolf (D) signed into law House Bill 2293 which created new oversight of and accountability for temporary health care staffing agencies operating in Pennsylvania’s assisted living communiti...
Provider Directory Accuracy – Health Plans’ Continuing Challenge

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...