Fraud, Waste, and Abuse

New Stark AKS Podcast

The New AKS and Stark Laws Final Rules Key Take Aways

Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX presents on these new updates. On November 20, 2020, the Centers for Medicare and Medicaid Services (CMS) issued a Final Rule related to the Medicare Physician Self-Referral Law (Stark Law). Nearly simultaneously, the Office of the Inspector General, Department of Health and Human Services (HHS-OIG), released a Final Rule, which amends various safe harbors to the Federal Anti-Kickback Statute (AKS). The changes appear to be based, in large part, on value-based healthcare delivery and payment systems. The purpose of this presentation is to highlight the key changes, along with the similarities and differences in the language between the two Final Rules.

Infographic: Healthcare Compliance Training for the Workforce

Successful employee education is an integral part of a comprehensive healthcare compliance program. Compliance professionals must consider which topics should be offered to the workforce. Of course, proper training depends on variables such as type of healthcare organization, roles of employees and location of the entity. States may impose specific requirements that go beyond federal requirements. Generally, four broad categories cover the topics imperative to the start of a comprehensive healthcare compliance program.

healthcare compliance online training 2021

Online Healthcare Compliance Training for Employees: 4 Topics to Consider

Compliance professionals agree that training the workforce is a major component of a successful compliance program. In fact, employee education is an important first step toward preventing, detecting, and mitigating noncompliance. As a result of the pandemic, online education is a necessity instead of a mere convenience for healthcare compliance professionals and administrators of medical offices tasked with implementing workforce training.

The Biggest Recent Health Care Scams & How to Avoid Being a Target

Catherine Short speaks with Stephen Bittinger, Health Care Reimbursement Partner at K&L Gates, about the topic of “The Biggest Recent Health Care Scams & How to Avoid Being a Target.” We will be learning the mechanics of some of the largest recent health care fraud scams, how many providers became victims of these scams, and how to avoid these types of risks in the future. We will study the mechanics of health care fraud scams and the impact on providers caught in them, discover how to identify health care fraud scams and discuss resources for providers to educate themselves, and learn from other providers’ mistakes on how to avoid health care fraud scams and decrease risk to revenue cycle.

Q&A: Learning from Health Care Scams in 2019 & How to Avoid Being a Target in 2020

Stephen D. Bittinger, Esq. Partner at Nexsen Pruet, presented the webinar The Biggest Health Care Scams in 2019 and How to Avoid Being a Target in 2020. Stephen answered many commonly asked questions on our blog in conjunction with this webinar. Be sure to catch Stephen presenting in person on April 23, 2020 in Wilmington, DE at the 3rd Annual Healthcare Compliance Symposium co-sponsored by First Healthcare Compliance and Widener University Delaware Law School.

DOJ Announces Updates to the Yates Memo

DOJ Announces Updates to the Yates Memo

On November 29, Deputy Attorney General Rod Rosenstein delivered a speech announcing changes to the Department of Justice (DOJ) 2015 policy memorandum titled ‘Individual Accountability for Corporate Wrongdoing,’ commonly known as the Yates Memo. The new policy revisions reflect a continued focus on individual accountability, while easing the burden for cooperation credit and providing more flexibility to DOJ attorneys in resolving matters. Key changes are summarized in this week’s blog post.

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