Audit, Investigate, and Control – HHS OIG – 2015 Work Plan

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In 2015 the U.S. Department of Health and Human Services’ (HHS) Office of Inspector General (OIG) reported 925 criminal actions against people or entities engaged in crimes against HHS programs and 682 civil actions (i.e., false claims, unjust-enrichment lawsuits filed in Federal district court, CPM settlements, and administrative recoveries related to provider self-disclosure matter). Companies in the healthcare industry should have top of the mind awareness of the OIG’s initiatives each year as they develop, change, and keep up their compliance programs for the year. Continue reading

On the Money…Modernized Infrastructure and Healthcare Revenue Cycle

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With the ever-growing decline of the American healthcare economy, monitoring patient centered revenue cycles is a growing concern for healthcare organizations. Healthcare revenue cycles over the years have primarily rested on the shoulders of the billing department and the Compliance Committee to make sure precautionary steps implemented to mitigate areas of non-compliance. Even when an organization feels they have the necessary infrastructure set in place to addressing  areas of non-compliance, there is always that chance of human error resulting in stiff financial penalties.
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