Over the past 5 years, there has been a decreased in false claims recoveries by the DOJ. That trend was resoundingly reversed in fiscal year 2021. In a press announcement on February 1, 2022, the DOJ released the foll...
Updates on Data Modernization Efforts by the OIG
At the March 29, 2022 Health Care Compliance Association (HCCA) conference, Christi A. Grimm, HHS-OIG Inspector General, presented an update on key agency initiatives and priorities that directly impact health care and c...
Interested in Telehealth? So is the OIG!
Telehealth had been a small part of healthcare for many years, but the declaration of a Public Health Emergency (PHE) in 2020 accelerated both its use and scope when in-person healthcare services were simply not availabl...
Considering Medicare Advantage as Your Next Product Line? Things to Know…
Health plans considering Medicare Advantage or Medicaid as a new line of business need to be well informed of the greatly enhanced oversight and requirements they will face compared to state regulation of commercial plan...
The Role of OFAC in U.S. Sanctions of Russia
The recent events in Ukraine have resulted in an unprecedented imposition of crippling financial sanctions against Russia by the United States, the European Union and multiple countries around the globe. For the U.S., th...
STARK & ANTI-KICKBACK’S REBOOT TO THE 21ST CENTURY
On January 19, 2021, sweeping new regulations related to both the CMS Physician Self-Referral Law (Stark) and OIG’s Anti-Kickback Statute (AKS) went into effect, notwithstanding technical issuance deficiencies. R...
HCCA’s 26th Annual Compliance Institute
The Compliance Institute (CI), a flagship event held by Health Care Compliance Association® (HCCA), has been supporting practitioners with educational and networking opportunities for two and a half decades. This confer...
Apache Log4j Vulnerability – What You Need to Know
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...
OIG’s 2021 Top Management & Performance Challenges Facing DHHS
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...