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 the pivotal role of the Department of Health and Human Services...

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) of the Internal Revenue Code (“Code”) wishing to...

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 medical director meets the eligibility...

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, sparking...

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 changes. Robert DeConti, the OIG's Chief Counsel, unveiled a noteworthy...

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 healthcare, which includes medical device, life sciences, and pharmaceuticals. To...

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 communities, personal care homes and nursing homes. This...

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 online directories of 52 Medicare...

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 2023 was no exception. A notable session...