YouCompli

MARCH 22, 2023

There has been significant enforcement over the last couple years relating to overpayments for UDT. Department of Health and Human Services Office of Inspector General (OIG) has expressed concerns about UDT billing. The overpayment rate for definitive drug testing for 22 or more drug classes was over 71%.

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Overpayments Overpayment Compliance Medicare 52

YouCompli

FEBRUARY 1, 2023

Using the OIG’s seven elements as a guide to delivering better patient care Healthcare Compliance professionals tend to focus, rightfully so, on the regulations and organization requirements around providing quality patient care and keeping patients safe. Consider the seven elements in the OIG’s guidance on effective compliance programs.

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Compliance Compliance Officers Overpayments Overpayment 52

C&M Health Law

DECEMBER 18, 2023

Compliance policies should be developed under the direction and supervision of the compliance officer and compliance committee and should address the implementation and operation of an entity’s compliance program and processes. OIG’s updated take on the seven elements is briefly summarized below. (1)

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Compliance Compliance Officers Governance Overpayments 52

YouCompli

NOVEMBER 1, 2023

As compliance officers, we are continually placed in a position to influence the actions of others and help shape our organization’s compliance culture. One way to change that perception is to avoid creating “gotcha” moments when you’re working on a compliance-related matter. Here are four tips that will help.

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Compliance US Department of Health and Human Services Compliance Officers Overpayments 52

YouCompli

SEPTEMBER 13, 2023

Compliance professionals can help their organizations reduce FWA with a “prevent, detect, report” strategy, guided by recommendations from the Office of the Inspector General (OIG) and the Centers for Medicare and Medicaid Services (CMS). This three-pronged strategy focuses on educating patients and staff about how to avoid misconduct.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Officers Compliance Fraud 52

Healthcare Law Blog

FEBRUARY 9, 2024

million to resolve a lawsuit filed by the system’s former Chief Compliance Officer, Ronald Sherman. Sherman himself had submitted disclosure logs to the OIG), Sherman alleges that it failed to adequately report the arrangements it had with Neonatology Associates or any other private physician groups, or return any alleged overpayments.

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Hospitals Compliance Officers Compliance Overpayments 52

YouCompli

MAY 17, 2023

Sharon Parsley, JD, MBA, CHC, CHRC contributes a regular post on compliance officer effectiveness for the YouCompli blog. What does it really take to ensure that an organization has a mature, well-integrated, and high-performing Compliance function? We further identified overpayments and developed a plan to refund.

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Compliance Compliance Officers Overpayments Overpayment 52