Performance Improvement Plan

Is Your Compliance Program Effective?

Having a compliance program in place is a start but having an…

Beware of Individual Liability: Yates Memo

On September 9, 2015, the Department of Justice (DOJ) Deputy…

OIG WORKPLAN 2016

The Office of the Inspector General (OIG) is responsible for…
Healthcare Compliance Solutions and News

Overview of a Corporate Integrity Agreement (CIA)

Health care fraud recoveries for fiscal years 2009- 2014 exceeded…
Healthcare Compliance -Claims and Procedures

Billing Care Plan Oversight Risks

Care Plan Oversight describes the physician or other healthcare…

Are You Aware of the Whistleblower Provisions of the False Claim Act ?

The whistleblower provisions of the False Claims Act have lead…
Healthcare Compliance - Medicare

Complying with Stark Law: Can you bill Medicare when treating your family members?

The treatment of family members falls under General Exclusions…
Healthcare Compliance -Claims and Procedures

$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims

In 2012, approximately 49 million Medicare claims were related…
Healthcare Compliance -Claims and Procedures

What Should You Do After Discovering a Billing Error?

Just correct the problem and you will be compliant? No, but…