Episode 280 -- Healthcare Compliance and Fraud

The Volkov Law Group
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Looking back in time, the compliance field owes a lot to the healthcare industry.  In the 1990s, there was a dramatic explosion in the industry in response to aggressive federal enforcement programs and increasing regulation.  All of a sudden, compliance officers who sat in the backrooms of legal departments were “volunteered” to address proactive compliance.  Federal regulators pushed the compliance function to assume a much larger role at healthcare companies and to come out from under the shadow of legal departments and play a See more +
Looking back in time, the compliance field owes a lot to the healthcare industry.  In the 1990s, there was a dramatic explosion in the industry in response to aggressive federal enforcement programs and increasing regulation.  All of a sudden, compliance officers who sat in the backrooms of legal departments were “volunteered” to address proactive compliance.  Federal regulators pushed the compliance function to assume a much larger role at healthcare companies and to come out from under the shadow of legal departments and play a frontline role in mitigating risks.

As the regulatory frameworks became more complex, and as abuses were called out, a robust regulatory enforcement regime through the HHS Office of Inspector General grew.  The force behind the HHS-OIG multiplied with more regulations, additional enforcement needs and development of tools such as Corporate Integrity Agreements.

Given all of these trends and with a public spotlight on the industry, healthcare companies quickly realized that they had only one option – design and implement robust proactive ethics and compliance programs. 

In this Episode, Michael Volkov reviews healthcare compliance programs and the unique set of fraud risks. See less -

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DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations. Attorney Advertising.

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