A CIA is a serious weapon available to the OIG to resolve allegations of fraud and abuse. Let's take a look back at some of the history of Corporate Integrity Agreements and how they are used.Read More
As we all know, Corporate Integrity Agreements (CIA’s) are an excellent resource to a compliance officer when trying to stay ahead of the ever-changing compliance landscape. CIA’s provide a wealth of information as to what the Office of Inspector General (OIG) believes should be elements of an effective compliance program. They can also help clarify roles and responsibilities of the board or senior leadership in a healthcare organization. It is highly recommended that you monitor CIAs posted on the OIG site on a periodic basis to see if the model CIA has been updated or changed.Read More
HCCA Compliance Institute begins this weekend, and year after year, it never disappoints! At ProviderTrust,
meeting new faces and reuniting with friends has always been our favorite part of this enjoyable event.
As we prep for our journey to the National Harbor in Maryland, we made it a priority to put together some resources for you - in the event you get to go - so that you get the most out of your HCCA CI 2017 experience!
Take a look below to start planning, and be sure to say hello if you see us.Read More
The case highlights a major concern for the OIG, as outlined in the 2017 OIG Work Plan. The OIG Work Plan specifically addresses nursing home/facility fraud concerns, stating that, "Previous OIG work found that (skilled nursing facilities) are billing for higher levels of therapy that were provided or were reasonable or necessary." So the OIG proposed to and, in this case, reviewed documentation at selected skilled nursing facilities to determine it met the requirements for each particular resource utilization group. The involved sophisticated data mining and analytics, now deployed at the OIG.
Healthcare liability is getting personal. Following the Sally Yates Memo, the DOJ has set certain guidelines and let it be known that they will pursue the individuals personally for their role in committing fraud.
In this blog we discuss a few cases that show that although Sally Yates may not personally be there to lead the charge, but the bull is definitely out of the cage.Read More