Corporate Compliance Articles by Topic: Hospital Compliance
-
Compliance Monitor, Issue 44, November 4, 2009
A Texas hospital group will pay the United States $27.5 million to resolve allegations that it...
-
Medicare Weekly Update, Issue 45, November 3, 2009
CMS has released a display copy of the outpatient prospective payment system (OPPS) final rule for...
-
Compliance Monitor, Issue 36, September 9, 2009
Pharmaceutical giant Pfizer Inc. and its subsidiary Pharmacia & Upjohn Company Inc. will pay...
-
Compliance Monitor, Issue 35, September 2, 2009
Covenant Medical Center in Waterloo, IA, agreed to pay $4.5 million to settle claims that it had...
-
Compliance Monitor, Issue 32, August 12, 2009
One way to strengthen your compliance department is to designate a compliance committee. A...
-
Compliance Monitor, Issue 26, July 1, 2009
If the compliance officer or committee discovers evidence of misconduct or noncompliance and has...
-
Compliance Monitor, Issue 25, June 24, 2009
Robert Bourseau, former board member and co-owner of City of Angels Medical Center in Los Angeles...
-
Compliance Monitor, Issue 22, June 3, 2009
John Sharp M.D., of Marlington, WV, will appear before U.S. District Judge Irene Keeley to request...
-
Compliance Monitor, Issue 21, May 27, 2009
On May 20, President Barack Obama signed the Fraud Enforcement and Recovery Act of 2009 (FERA...
-
Compliance Monitor, Issue 20, May 20, 2009
An important aspect to consider early in the compliance training development process is the...
-
Compliance Monitor, Issue 19, May 13, 2009
On May 5, Tampa-based WellCare Health Plans, Inc. agreed to enter a deferred prosecution agreement...
-
Compliance Monitor, Issue 19, May 13, 2009
Q: Are all hospital acquired conditions (HACs) also “never-events”?
-
Compliance Monitor, Issue 17, April 29, 2009
On April 28 the Senate approved the Fraud Enforcement and Recovery Act of 2009, a bill designed to...
-
Compliance Monitor, Issue 16, April 22, 2009
When evaluating the performance of managers and supervisors, factor in adherence to the elements of...
-
Healthcare Auditing Weekly, Issue 13, April 7, 2009
Deciding what to do when there’s an instance of wrongdoing may be the hardest part of an...
-
Mammography Regulation and Reimbursement Report, Issue 4, April 1, 2009
Learn why mammography screening compliance is going down, and its becoming more difficult to find...
-
Mammography Regulation and Reimbursement Report, Issue 4, April 1, 2009
Mammography use dropped in most states between 2000 and 2006, but researchers still do not know why.
-
Mammography Regulation and Reimbursement Report, Issue 4, April 1, 2009
The breast imaging world will be significantly shortstaffed in the next 15–20 years if...
-
Mammography Regulation and Reimbursement Report, Issue 4, April 1, 2009
Physicians in New York recently received a tool to help them assess their skill at reading...
-
Mammography Regulation and Reimbursement Report, Issue 4, April 1, 2009
Providing radiologists with more information about legitimate malpractice risks could encourage...
-
Mammography Regulation and Reimbursement Report, Issue 4, April 1, 2009
The Centers for Medicare & Medicaid Services (CMS) recently clarified its position that...
-
Health Care Auditing Strategies, Issue 4, April 1, 2009
This month in Healthcare Auditing Strategies, we go in depth on E/M services audits, outlining...
-
Compliance Monitor, Issue 13, April 1, 2009
Houston’s Methodist Hospital agreed to pay $9.9 million to settle allegations that it...
-
Healthcare Auditing Weekly, Issue 12, March 31, 2009
On March 23, the OIG and the Health Care Compliance Association (HCCA) released a report that...
-
Healthcare Auditing Weekly, Issue 11, March 24, 2009
On March 11, the OIG issued a report, which detailed the results of a review of hospital compliance...
-
Health Care Auditing Strategies, Issue 3, March 1, 2009
As Americans suffer through a severe economic recession, healthcare professionals are discovering...
-
Health Care Auditing Strategies, Issue 3, March 1, 2009
This month in Healthcare Auditing Strategies, we take a close look at the ailing economy?s effects...
-
Compliance Monitor, Issue 8, February 25, 2009
HIPAA requires covered entities to manage electronic protected health information , including that...
-
Compliance Monitor, Issue 8, February 25, 2009
On February 19, a federal jury found Eugene Chen, M.D., a Las Vegas anesthesiologist, guilty of...
-
Healthcare Auditing Weekly, Issue 6, February 17, 2009
While there is no right or wrong way to set up a compliance-monitoring program, we have created a...
-
Compliance Monitor, Issue 5, February 4, 2009
A federal indictment named two more individuals in an alleged Medicare fraud scheme that recruited...
-
Healthcare Auditing Weekly, Issue 5, February 3, 2009
When assessing risk, it’s crucial to have a solid understanding of your organization, the...
-
Health Care Auditing Strategies, Issue 2, February 1, 2009
Upcoming changes to Stark Law should put financial arrangement audits at the top of compliance...
-
Health Care Auditing Strategies, Issue 2, February 1, 2009
The OIG characteristically included many Medicare reviews, audits, and investigations in its 2009...
-
Health Care Auditing Strategies, Issue 2, February 1, 2009
Although the rule for inpatient-only procedures in an outpatient setting may initially seem rather...
-
Healthcare Auditing Weekly, Issue 4, January 27, 2009
It’s important to understand the details of the Emergency Medical Treatment and Active Labor...
-
Healthcare Auditing Weekly, Issue 3, January 20, 2009
Consider adapting some of the following questions to query the board of directors regarding their...
-
Compliance Monitor, Issue 2, January 14, 2009
Seven hospitals in New York have been accused of fraudulently billing the Medicaid program for...
-
Compliance Monitor, Issue 2, January 14, 2009
Boston Medical Center (BMC) and East Boston Neighborhood Health Center (EBNHC) agreed to pay...
-
Healthcare Auditing Weekly, Issue 2, January 13, 2009
Follow these tips to audit the use of advance beneficiary notices (ABNs) in your facility and...
-
Healthcare Auditing Weekly, Issue 2, January 13, 2009
The sagging economy is causing concern for healthcare compliance and ethics professionals...
-
Compliance Monitor, Issue 1, January 7, 2009
On December 30, 2008, a federal jury convicted Dr. Mehmood Patel, of Lafayette, LA, on 51 counts of...
-
Health Care Auditing Strategies, Issue 1, January 1, 2009
With the government stepping up its efforts to combat Medicare and Medicaid fraud and abuse...
-
Compliance Monitor, Issue 92, December 31, 2008
The HHS-OIG Supplemental Compliance Program Guidance for Hospitals recommends considering the...
-
Healthcare Auditing Weekly, Issue 49, December 30, 2008
The OIG’s Supplemental Compliance Program Guidance for Hospitals outlines seven elements of...
-
Compliance Monitor, Issue 91, December 24, 2008
Ana Alvarez-Jacinto and Sandra Mateos were sentenced to 30 years in prison for their involvement in...
-
Healthcare Auditing Weekly, Issue 48, December 23, 2008
When conducting compliance education sessions, plan how you will keep your trainees&rsquo...
-
Compliance Monitor, Issue 90, December 17, 2008
The compliance officer must inform the board of directors about the basic responsibilities of...
-
Healthcare Auditing Weekly, Issue 47, December 16, 2008
According to the OIG’s Supplemental Compliance Program Guidance for Hospitals, hospitals...
-
Health Care Auditing Strategies, Issue 1, December 12, 2008
With the focus on enforcement increasing in many areas of healthcare compliance, auditors need to...
-
Compliance Monitor, Issue 89, December 10, 2008
Jackson Madison General Hospital, in Jackson TN, and Milan General Hospital, in Milan, TN, agreed...
-
Compliance Monitor, Issue 88, December 3, 2008
Tip: Resources for risk identification
-
Compliance Monitor, Issue 88, December 3, 2008
Manchester Memorial Hospital in Manchester, CT agreed to pay the federal government $712,000 to...
-
Compliance Monitor, Issue 88, December 3, 2008
Condell Medical Center, in Libertyville, IL, will pay the federal government and the state of...
-
Healthcare Auditing Weekly, Issue 45, December 2, 2008
Looking for a particular audit plan that may help make your job easier? Turn to the “Audit...
-
Healthcare Auditing Weekly, Issue 45, December 2, 2008
The OIG believes an ongoing evaluation process is critical to a successful compliance program...
-
Health Care Auditing Strategies, Issue 12, December 1, 2008
Cardiology catheterization labs are big moneymakers in hospitals. However, the potential for big...
-
Health Care Auditing Strategies, Issue 12, December 1, 2008
The Emergency Medical Treatment and Active Labor Act (EMTALA) has been around for more than 20...
-
Strategies for Health Care Compliance, Issue 12, December 1, 2008
When the recovery audit contractor (RAC) demonstration project ended March 27, the evaluation...
-
Strategies for Health Care Compliance, Issue 12, December 1, 2008
The emergency room (ER) is among the most frantic and fast-paced areas in the hospital. Doctors and...
-
Strategies for Health Care Compliance, Issue 12, December 1, 2008
Disasters are not exclusive to any one area. Some areas may be more susceptible to tornados...
-
Compliance Monitor, Issue 87, November 26, 2008
Q: How much does it cost to request an OIG advisory opinion?
-
Compliance Monitor, Issue 87, November 26, 2008
St. Vincent Health System Inc. will pay $1.9 million to settle allegations the company submitted...
-
Medicare Weekly Update, Issue 48, November 25, 2008
On November 21, CMS issued 41 new/updated frequently asked questions related to Medicare...
-
Medicare Weekly Update, Issue 48, November 25, 2008
CMS Public Events this Week
-
Compliance Monitor, Issue 86, November 19, 2008
Tip: Submission of claims for laboratory services
-
Medicare Weekly Update, Issue 47, November 18, 2008
Neither CMS nor the OIG released any other significant issuances this week affecting coverage...
-
Medicare Weekly Update, Issue 47, November 18, 2008
CMS Public Events this Week
-
Healthcare Auditing Weekly, Issue 42, November 11, 2008
The balancing of benefits and risks of voluntary disclosure is complex and should be undertaken...
-
Strategies for Health Care Compliance, Issue 11, November 1, 2008
Physician documentation plays a big part of the billing process in medical facilities. But no...
-
Health Care Auditing Strategies, Issue 11, November 1, 2008
Slowly but surely, providers are moving toward adoption of electronic health records (EHR) in hopes...
-
Compliance Monitor, Issue 83, October 29, 2008
Q: The hospital to the south of us has a transfer agreement with a hospital seven miles to our...
-
Compliance Monitor, Issue 83, October 29, 2008
NJ hospital pays $1.75 million to settle whistleblower claims
-
Healthcare Auditing Weekly, Issue 41, October 28, 2008
Auditing alone is not enough to maintain an effective compliance program. Organizations must...
-
Compliance Monitor, Issue 82, October 22, 2008
Tip: Retention of records
-
Healthcare Auditing Weekly, Issue 40, October 21, 2008
Your involvement as a compliance officer and/or auditor can help improve your organization’s...
-
Compliance Monitor, Issue 80, October 15, 2008
Tip: Reporting hotline activity to the board of directors
-
Compliance Monitor, Issue 78, October 8, 2008
Tip: Guidelines for documenting screening treatment
-
Healthcare Auditing Weekly, Issue 38, October 7, 2008
An effective auditor acts quickly to interpret new information and educate staff and providers when...
-
Compliance Monitor, Issue 76, October 1, 2008
Tip: Create open lines of communication
-
Compliance Monitor, Issue 76, October 1, 2008
NJ Hospital pays $3.85M to settle Medicare fraud charges
-
Health Care Auditing Strategies, Issue 10, October 1, 2008
“Buy one, get one free!” “Stay at our hotel and receive a free continental...
-
Healthcare Auditing Weekly, Issue 37, September 30, 2008
After you have completed a comprehensive risk assessment of your organization, it is time to take...
-
Compliance Monitor, Issue 74, September 24, 2008
Tip: Exit interview red flags
-
Compliance Monitor, Issue 72, September 17, 2008
Staten Island University Hospital to pay $89 million to settle fraud claims
-
Healthcare Auditing Weekly, Issue 35, September 16, 2008
After the audit report is issued, the audit team should perform a post-audit evaluation. Its...
-
Healthcare Auditing Weekly, Issue 34, September 9, 2008
Tip: Five ways to prevent would-be whistleblowers
-
Compliance Monitor, Issue 68, September 3, 2008
Tip: How to handle media requests
-
Compliance Monitor, Issue 68, September 3, 2008
Whistleblowers help the government recoup $9.3 billion
-
Healthcare Auditing Weekly, Issue 33, September 2, 2008
Looking for a particular audit plan that may help make your job easier? Turn to the "Audit...
-
Healthcare Auditing Weekly, Issue 33, September 2, 2008
Deciding what to do when there’s an instance of wrongdoing may be the hardest part of an...