Articles related to Compliance Counsel

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Wisconsin Supreme Court: Under State’s Informed Consent Law, Scope of “Physician Who Treats” May Be Broader Than Physician Actually Performing Treatment at Issue

[07/15/25]

HHS and CMS Rescind Guidance on Emergency Reproductive Health Care Under EMTALA

[06/09/25]

OIG Signals Expansion to Its Exclusion Authorities

[08/09/23]

CMS Releases FFY 2024 IPPS Proposed Rule; Proposed Change in Rural Floor Wage Index Policy & Wage Index Deadlines

[04/18/23]

The DOJ Announces New Nationwide Voluntary Self-Disclosure Policy 

[03/07/23]

No Surprises Act Enforcement Begins

[02/20/23]

CMS Publishes RADV Audit Methodology and Intent to Recover Overpayments

[02/14/23]

OIG Strategic Plan Announces Priorities for COVID-19 Enforcement

[05/28/20]

OIG Issues COVID-19 Message Minimizing Burdens on Providers

[03/31/20]

DOJ’S 2019 False Claims Act Recoveries Total More Than $3 Billion

[01/15/20]

The Price May Not Be Right, But It Will Be Public: CMS Finalizes Price Transparency Rule Requiring Hospitals to Publish Payer-Specific Rates

[11/18/19]

OIG Issues Guidance on Real Estate Purchase from Entity Owned in Part by Excluded Individual

[10/11/19]

CMS Finalizes New Anti-Fraud Tools Aimed at Affiliations

[09/10/19]

Reminder: Many Hospitals Will Be Required to Report Lab Price Data as Part of PAMA Changes

[09/03/19]

Appropriate Use Criteria for Advanced Diagnostic Imaging – Testing Period Begins Soon!

[08/26/19]

CMS Finalizes Changes for Low Wage Hospitals and Rural Floor

[08/19/19]

A New Option for Grant Noncompliance: OIG Releases Grantee Self-Disclosure Program

[08/16/19]

CMS Proposes Payment Policy Changes Impacting Hospital Outpatient Department Services – What You Need to Know

[08/02/19]

Location Matters Update: CMS Postpones Exact Match Billing Rule – AGAIN

[07/02/19]

CMS Releases FFY 2021 Preliminary Public Use File and Wage Index Development Timetable

[05/22/19]

GAO Lab Report – Sound Analysis? Criticism from Senator Grassley and Others and CMS’s Response

[05/20/19]

DOJ Self-Disclosure and Cooperation Credit

[05/17/19]

Department of Justice Updates Compliance Program Guidance

[05/13/19]

CMS Updates Preclusion List Requirements for Medicare Advantage and Part D

[05/10/19]

Medicare Hospital Co-Location Fix? Not There Yet…

[05/07/19]

Wage Index Fix? CMS Proposes Changes for Low Wage Hospitals and Rural Floor

[04/30/19]

CMS Postpones Rules for Billing Off-Campus Provider-Based Departments Until July 2019

[03/29/19]

Location Matters: Get It Right or Don’t Get Paid

[03/06/19]

Consider Website and Other Technology Accessibility Obligations to Better Serve Your Community and Avoid Litigation and Loss of Federal Funding

[03/01/19]

Claims Denials Start April 1: What You Should Know About CMS’s New Preclusion List

[02/15/19]

Department of Justice Announces Important Updates to Yates Memo Requirements

[12/07/18]

The Past Is Prologue: Reviewing Compliance Landmarks from 2018 to Plan for 2019

[12/03/18]

Hospital Wage Index Reform Deja Vu? OIG Releases Report on Vulnerabilities of Wage Index System, Recommends Overhaul of System

[11/30/18]

CMS Finalizes Several Changes for Off-Campus Provider-Based Clinics

[11/12/18]

CMS Letter to Clinicians – E/M Documentation Update

[11/09/18]

Civil Monetary Penalties Inflation Adjustment for 2018

[10/26/18]

CMS Proposes to Simplify Coding and Documentation Requirements for E/M Services but with a Catch

[09/28/18]

Hospitals Fined for Allowing Documentary Film Crews to Film Patients Without Consent

[09/24/18]

CMS Releases FFY 2020 Preliminary Public Use File and Wage Index Development Timetable

[05/25/18]

CMS Releases FFY 2019 Proposed Rule, Triggers Wage Index and Reclassification Deadlines

[05/03/18]

Are You In or Are You Out? Inpatient Admission Status Is a Key Risk Area for Medicare Providers

[04/26/18]

Hyperbaric Oxygen Therapy Services: 2017 OIG Work Plan Initiative Finds 85 Percent of Claims Billed in Error

[04/26/18]

CMS Issues Important Decision Memo Addressing Updates to National Coverage Determination for Implantable Cardioverter Defibrillators

[03/14/18]

CMS Adopts National Targeted Probe and Educate Program

[02/06/18]

OIG Rescission of 2006 Advisory Opinion: An Important Compliance Reminder

[12/11/17]

Summary of Senate Bill 17-065, Transparency in Health Care Prices Act

[09/15/17]

Meaningful Use Hardship Exception Deadline Approaching

[09/14/17]

CMS Clarifies Definition of Hospital: What It Means to Be “Primarily Engaged”

[09/07/17]

CMS’s Unfounded “Theory of Relativity” – Major Payment Decrease Proposed for Non-Grandfathered Provider-Based Clinics

[07/24/17]

OIG Updates Annual Work Plan with New Enforcement Priorities

[07/19/17]

Hall Render AHLA Briefing on Compliance Program Effectiveness

[06/22/17]

MACs Issue Revised Credentialing Guidance for Hospital Sleep Centers

[05/12/17]

Sleep Centers Wake Up to Medicare Accreditation Changes

[05/05/17]

Stressful or Streamlined? CMS’s New SRDP Disclosure Form Presents New Challenges for Providers

[04/14/17]

But Does It Work? OIG Resource Guide Provides Clarity on Measuring Compliance Program Effectiveness

[03/27/17]

What Did Leaders Know and When Did They Know It? New DOJ Guidance Offers Key Insights on Effective Compliance Programs

[03/09/17]

OIG Final Rule Significantly Expands Exclusion Authority

[01/19/17]

Compliance-Driven Contract Management Solutions

[01/05/17]

DOJ Issues Holiday Blockbuster on Annual FCA Recoveries

[12/27/16]

New AKS Safe Harbors Create Opportunities for Providers

[12/08/16]

Skilled Nursing Facility Chain Settles False Claims Act Case for $145 Million

[11/03/16]

U.S. Hospital Chain Settles Kickback Claims for $513 Million

[10/12/16]

CMS Issues Final Overpayment Refund Rule

[02/12/16]

Medicare Part D Fraud and Specialty Drugs Highlighted in OIG’s 2016 Work Plan

[12/09/15]

Provider-Based: The Visiting Specialist Solution to CMS’s Evolving Exclusive Use Standard

[11/24/15]

FDA Delays Enforcement of Dispensers’ Drug Product Tracing Obligations Until November 1, 2015

[07/01/15]

Doctors Beware: OIG Issues New Fraud Alert Addressing Physician Liability for Inappropriate Compensation Arrangements

[06/10/15]

OIG Issues FY 2015 Work Plan Mid-Year Update

[05/29/15]

OIG Issues New Guidance for Health Care Boards on Compliance Oversight

[04/27/15]

OIG Provides More Exclusion Guidance Through Recent Advisory Opinion

[02/19/15]

DOJ Announces that 2014 Sets Record for FCA Recoveries and Whistleblower Lawsuits

[11/21/14]

Summary of the OIG 2015 Work Plan

[11/05/14]

A Balancing Act: Pending Legislation Seeks to Improve Prescription Drug Access While Curbing Abuse

[08/04/14]

Privileged Compliance Investigations: A Strategy for Avoiding Retained Overpayment FCA Actions

[07/02/14]

Implications of the U.S. District Court Opinion Vacating the 340B Program’s “Orphan Drug” Final Rule and Regulations

[05/29/14]

OIG Proposes Substantial Changes to Its Civil Monetary Penalty Rules

[05/21/14]

Potential Prescription Drug Audit Areas Highlighted in the OIG’s Fiscal Year 2014 Work Plan

[02/18/14]

Summary of the OIG 2014 Work Plan

[02/04/14]

President Signs Compounding Pharmacy Bill – First Related FDA Guidance Published

[12/04/13]

OIG Study Offers Insight to Pharmacies Regarding How to Evaluate Physicians’ Prescribing Habits

[11/13/13]

2014 IPPS Final Rule – CMS Clarifies Inpatient Admission Criteria to Reduce Payment Uncertainty

[08/14/13]

Sunshine Act Compliance Begins: CMS Provides Related Payment Tracking Apps, Q&As and Other Resources

[08/09/13]

OIG Issues Updated Guidance for Exclusions

[05/10/13]

Health System Pays Close to $4 Million to Resolve Self-Disclosed Stark Violations

[05/06/13]

OIG Issues Updated Self-Disclosure Protocol

[04/22/13]

IRS Issues CHNA Proposed Regulations and Guidance on 501(r) Noncompliance Penalties

[04/16/13]

New Proposed Regulations on Code Section 501(r) Released

[04/04/13]

Final Sunshine Rule Requires Reporting of Physician Ownership in GPOs and Health Products Manufacturers

[03/13/13]

CMS Publishes the Final Physician Payment Sunshine Rule

[02/20/13]

Qui Tam Ruling May Result in Part D Sponsors and Pharmacy Benefit Managers Increasing Their Audit Activities

[01/07/13]

OIG Advisory Opinion 12-14: OIG Approves Retail Rewards Program That Includes Purchases at In-Store Pharmacies

[10/19/12]

Potential Prescription Drug Audit Areas Highlighted in the OIG’s Fiscal Year 2013 Work Plan

[10/05/12]

Summary of the OIG 2013 Work Plan

[10/03/12]

OIG Reminds Pharmacies of Proper Schedule II Billing Practices

[09/28/12]

Pharmacies and Drug Distributors Take Note: DEA Revokes Registration of Two CVS Pharmacies

[09/14/12]

IRS Proposed Regulations on New Requirements for Charitable Hospitals: Part IV – The Billing and Collection Provisions

[06/28/12]

IRS Proposed Regulations on New Requirements for Charitable Hospitals: Part III – Limitations on Charges

[06/27/12]

IRS Proposed Regulations on New Requirements for Charitable Hospitals: Part II – The Financial Assistance Policy Provisions

[06/26/12]

IRS Issues Proposed Regulations Clarifying New Requirements for Charitable Hospitals

[06/25/12]

HRSA Releases 340B Program Audit Guidance

[06/21/12]

OCR Provides Update on HIPAA Security and Privacy Audit Program

[06/13/12]

OIG Study Perceives Questionable Part D Billing by Retail Pharmacies

[05/14/12]

What’s Going on with the CMS Self-Referral Disclosure Protocol? – Recent Developments

[04/06/12]

The 2011 Form 990: Part V – Miscellaneous Changes and Items of Note

[02/17/12]

CMS Issues Proposed Rule to Implement Statutory Obligation to Report and Return Overpayments

[02/17/12]

The 2011 Form 990: Part IV – Schedule K

[02/16/12]

The 2011 Form 990: Part III – Schedule J

[02/15/12]

The 2011 Form 990: Part II – Schedule H

[02/14/12]

The 2011 Form 990: Part I – The Core Form and Instructions

[02/13/12]

2012 Non-Monetary Compensation to Physicians

[12/19/11]