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...

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...

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...

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 ...

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...

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...