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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Fraud and Abuse, compliance, Compliance Audit

We Told You It was Going to Get Personal

Posted by Michael Rosen, ESQ on Thu, Mar 16, 2017

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. 

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OIG Exclusion List, Healthcare Compliance, OIG, CMS, Compliance Plan, internal audit, OIG Exclusion, Compliance Audit, compliance auditor

Seven Mistakes to Avoid when Performing a Compliance Audit

Posted by Michael Rosen, ESQ on Tue, Dec 06, 2016

For our last blog in our audit series, we are sharing insights on effective internal compliance auditing.


New to the scene? Check out our audit series:
Hi, I am an Auditor and I am Here to Help
How to Conduct an Effective Health Care Audit
Be Audit Ready - All the Time
You've Finished Your Internal Audit. Now What?


Let’s face it - healthcare auditors have a tough job today. In order to be effective and relevant it requires careful analysis and investigative skills, while at the same time garnering support and respect from departments and people who may see you as the “Corporate Cop.” The pressure is high. There is a lot of importance placed on auditors to ask the right questions and dig in the right places to have a solid, accurate review.

On top of this, senior management and Board of Directors rely heavily upon a compliance auditor’s results to determine where there are weaknesses, areas for improvements, and/or violations of regulations that may require self-disclosure.

Here are seven mistakes others made to gain insight on what Federal regulators (HHS OIG) deem important or  compliance audit.

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