The pandemic may, please, finally, we hope, be coming to an end. That’s great cause for celebration, but it also portends a period of adjustment for healthcare, according to Raul G. Ordonez, Associate Vice President for...more
In this podcast Rob DeConti, Assistant Inspector General for Legal Affairs within the office of counsel to the Inspector General at HHS, was good enough to share a tremendous amount of insight into what the OIG is seeing,...more
11/11/2021
/ Charitable Organizations ,
Compliance ,
Coronavirus/COVID-19 ,
Corporate Integrity Agreement ,
Department of Health and Human Services (HHS) ,
Fraud Alerts ,
Health Care Providers ,
Healthcare Fraud ,
Kickbacks ,
Nursing Homes ,
OIG ,
Pharmaceutical Industry ,
Physicians ,
Public Health ,
Telehealth
NAVEX Global recently released its 2021 Risk & Compliance Incident Management Benchmark Report. It is a document rich in data about what’s going on with helplines and incident management.
To understand lessons learned from...more
During the second half of 2020 Gartner Research evaluated the compliance spending of 117 organizations, and the company recently released the interesting findings. Brian Lee, Managing Vice President in the Gartner Legal and...more
While the CARES Act provided much needed funding, it wasn’t a handout for healthcare providers. There are strings attached, explains Stephen Shaver, an attorney with Wachler & Associates and author of the Chapter “Revenue...more
4/22/2021
/ CARES Act ,
Compliance ,
Coronavirus/COVID-19 ,
Department of Health and Human Services (HHS) ,
Department of Justice (DOJ) ,
Enforcement Authority ,
False Claims Act (FCA) ,
Health Care Providers ,
Inspector General ,
Internal Controls ,
OIG ,
Provider Relief Fund ,
Relief Measures ,
Risk Mitigation
In-person compliance training can have an impact like no other. But it has to be done right, which isn’t easy especially during the pandemic. Richard Bistrong, who specializes in delivering in-person compliance training,...more
Privacy continues to be a challenging issue for healthcare providers. Chrissy Kyak, Compliance & Privacy Officer for Medstar Georgetown University Hospital, MedStar Montgomery Medical Center and MedStar Health Research...more
3/4/2021
/ Chief Compliance Officers ,
Chief Privacy Officer ,
Compliance ,
Coronavirus/COVID-19 ,
Cybersecurity ,
Data Breach ,
Data Privacy ,
Data Security ,
Electronic Protected Health Information (ePHI) ,
Health Care Providers ,
Infectious Diseases ,
Patient Privacy Rights ,
PHI ,
Physicians
It’s a very busy time for compliance professionals overseeing businesses operating in India, reports Arpinder Singh, India & Emerging Markets Leader at EY Forensic & Integrity Services. There are a dizzying number of new...more
12/4/2020
/ Auditors ,
Board of Directors ,
Business Disruption ,
Chief Compliance Officers ,
Competition ,
Compliance ,
Coronavirus/COVID-19 ,
Corporate Governance ,
Corporate Investigations ,
Corporate Officers ,
Corruption ,
Data Privacy ,
Data Protection ,
Ethics ,
India ,
Insider Trading ,
New Regulations ,
New Rules ,
Prevention of Corruption Act (PCA) ,
Privacy Laws ,
Ransomware ,
Remote Working ,
Reporting Requirements ,
Risk Management ,
Supply Chain ,
Whistleblowers
When Lisa Gross, Ethics Senior Manager at Lockheed Martin and Art Weiss, Chief Ethics and Compliance Officer at Tamko Building Products set to work as co-chairs of the Ethics Track for the 2020 Virtual Compliance & Ethics...more
There are few businesses seen as more essential today than FedEx. Its trucks have become a lifeline for many. But just because a company can and must operate, doesn’t mean it enjoys carte blanche to do what it likes. The...more
A lot has changed with he COVID-19 pandemic, but what if your organization is under a monitorship? Have the rules changed there, too?
According to John Hanson, President of the International Association of Corporate Monitors...more
As healthcare moves increasingly from fee-for-service model to one focused on outcomes and value-based payments, the traditional fraud and abuse laws, such as the Anti-Kickback Statute and the Stark Law, pose obstacles to...more
5/28/2020
/ Anti-Kickback Statute ,
Centers for Medicare & Medicaid Services (CMS) ,
Civil Monetary Penalty ,
Compliance ,
Coronavirus/COVID-19 ,
Fee-for-Service ,
Health Care Providers ,
Healthcare Fraud ,
New Rules ,
OIG ,
Physicians ,
Policy Statement ,
Proposed Rules ,
Self-Referral ,
Stark Law ,
Telemedicine ,
Value-Based Care ,
Waivers
With the COVID-19 pandemic demands for Personal Health Information (PHI) from law enforcement, the press, politicians and the public are increasing. While there may be good reasons behind many of these demands, healthcare...more
5/7/2020
/ Business Entities ,
Coronavirus/COVID-19 ,
Covered Entities ,
Data Privacy ,
Data-Sharing ,
Department of Health and Human Services (HHS) ,
Disclosure Requirements ,
Electronic Protected Health Information (ePHI) ,
Health and Safety ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
OIG ,
PHI ,
Privacy Policy
Today’s it’s the COVID-19 Pandemic. A year from now it could be a natural disaster. But whatever the reason, even during a business interruption compliance programs still have to function effectively.
Don Griffith, Head of...more
Laws like EMTALA and HIPAA don’t just apply to US citizens. They apply to everyone. That both keeps things simple and adds complexity when it comes to undocumented immigrants.
As Lesley Anne Durant, Senior Corporate...more
4/16/2020
/ Assault ,
Consent ,
Coronavirus/COVID-19 ,
Deportation ,
Disclosure Requirements ,
Emergency Rooms ,
EMTALA ,
Health Care Providers ,
Health Insurance Portability and Accountability Act (HIPAA) ,
Hospitals ,
Human Trafficking ,
Legal Guardian ,
Mental Health ,
Migrants ,
Minors ,
Modern Slavery Act ,
Patient Discharge Planning ,
Police Reports ,
Public Health Emergency ,
Release of Information ,
Request For Information ,
Required Documentation ,
Sexual Assault ,
Suicide ,
Undocumented Immigrants
In an interesting study, with surprising implications for compliance and ethics program, Cigna found a very lonely America. The data showed that 61% of people are lonely, feeling that they lack social support and meaningful...more
4/2/2020
/ CIGNA ,
Code of Conduct ,
Collaboration ,
Compliance ,
Coronavirus/COVID-19 ,
Employee Engagement ,
Ethics ,
Productivity ,
Remote Working ,
Social Media ,
Workplace Communication
When responding to COVID-19, it’s important to both scrub your hands and also scrub your data practices.
As Jonathan Armstrong, partner at Cordery Compliance explains in this podcast, organizations – and not just those based...more
In Part I of this two-part series, Sheryl Vacca laid out implications for health care providers struggling to respond to the COVID-19 corona virus outbreak while remaining compliant. In this episode we look at how all...more
Healthcare providers aren’t just on the front line of dealing with COVID-19 coronavirus. They are also on the front line of the compliance challenges that come with it.
As Sheryl Vacca, Senior Vice President and Chief Risk...more