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Compliance Officers Lookout! DOJ and OIG Tag Team Corporate Integrity Agreements

Healthcare Law Today

Department of the Health and Human Services (OIG) recently changed the language describing a compliance officer’s role in relation to other responsibilities he or she may have within their company when under a Corporate Integrity Agreement (CIA). A CIA can be used in False Claims Act settlements between the U.S. Emphasis added).

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OIG, in a Departure, Approves Hospital Provision of Nurse Practitioner Services

McBrayer Law Blog

Posted In Department of Health and Human Services (HHS) , Health Care Law , Hospitals , Nurse practitioners (NP) , Office of Inspector General of the United States Department of Health and Human Services (OIG) Traditionally, the Office of the Inspector General for the U.S.

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OIG and CMS Audits Present New Round of Compliance Concerns for Healthcare Providers

McBrayer Law Blog

More > Tags: Audit , Centers for Medicare & Medicaid Services , CMS , COVID-19 , Healthcare Compliance Issues , Medicaid , Medicare , regulatory compliance. Just as the pandemic may finally be easing, federal focus on use of COVID-19 resources promises to increase healthcare providers’ stress.

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Malnutrition Diagnosis Codes: The Compliance Danger You’re Not Taking Seriously Enough

McBrayer Law Blog

Because the payment error rate was so high at a colossal 31%, Medicare-Severity Diagnosis Related Group ("MS-DRG") applicable entities must take note and prepare for a marked increase in Department of Health and Human Services Office of Inspector General ("OIG") audits for these coding practices.

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BREAKING NEWS: CMS TO ENFORCE SNF COMPLIANCE IN OCTOBER

Health Care Performance

The new guidance for Phase 3 requirements includes the long-awaited F-Tag F895: Compliance and Ethics Programs. Nursing homes should make sure their compliance programs are built to the original rule (plus OIG guidance). Arbitration requirements and guidance which went into effect September 16, 2019. not the proposed rule.

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Thank goodness we didn't get struck by lightning

Health Care Performance

This is especially important for board members, who have a fiduciary duty to ensure an organization’s compliance program is functioning properly, so as to avoid penalties from the DOJ and the OIG. Can you put a price tag on potentially avoiding a costly ransomware attack? Did your quality assurance program reduce adverse events?

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Episode 23: The Emerging Investigatory Focus on Telehealth: What You Need to Know

Healthcare Law Today

They’re going to join us today to talk about some of the current regulatory and legal environment for telemedicine and, in particular, online subscription services and some of the OIG, DOJ, and FTC investigations and review that have begun to commence. What message do you think OIG and DOJ are sending to the marketplace?