Health Care Enforcement and Compliance Matters Prevention, Compliance, Advocacy

Tag Archives: Enforcement

A Compliance Officer’s Wish List for 2012

By Frank Sheeder on Posted in Culture, Enforcement, Ethics, Government Initiatives, Reform

I was visiting with some of my compliance colleagues recently and came up with an interesting Wish List for 2012:  Additional resources. Clearer regulations :) Increased stakeholder support for compliance activities. More predictable and quicker voluntary disclosure processes. A better way to keep track of regulatory developments and new business arrangements. Acknowledgement by regulators and enforcers… Continue Reading

12 Enforcement and Compliance Predictions for 2012

By Frank Sheeder on Posted in Culture, DOJ, Enforcement, Government Initiatives, ICD, Implantable Cardiac Devices, Long Term Care, Medicaid, Medicare, OIG, Reform, Settlements

This has been an interesting year for the health care industry, and I believe the coming year will be even more exhilarating.  Here are my 12 enforcement and compliance predictions for 2012.  Please comment with yours.  We’ll see how we do. . . .   Regardless of what happens with the health care reform law, the current market forces… Continue Reading

HHS Redoubles its Data Prospecting Efforts

By Frank Sheeder on Posted in CMS, Enforcement, False Claims Act, Government Initiatives, ICD, Implantable Cardiac Devices, Medicare, OIG, Reform

In previous posts, I have mentioned the government’s “data prospecting” efforts, and highlighted the difference between “data mining” and “data prospecting.”  Mining is done when you already know where to dig.  Prospecting, which is what the government has been doing, involves finding out where to dig.  There’s a big difference, and the implications should not… Continue Reading