Health Care Enforcement and Compliance Matters Prevention, Compliance, Advocacy

Tag Archives: OIG

HHS Inspector General Dan Levinson’s Compliance Speech

By Frank Sheeder on Posted in Administration, Culture, Enforcement, Fraud, Government Initiatives, OIG

I introduced HHS Inspector General Dan Levinson as he gave his compliance speech at the Health Care Compliance Association’s (HCCA’s) annual Compliance Institute.  He had some messages that health care compliance professionals and health industry leaders need to hear.     You can watch the speech at this link:  IG Levinson’s Compliance Speech at HCCA… 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

The Government is Going After Health Care Execs

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

I just returned from the HCCA/AHLA Fraud & Compliance Forum which was, as usual, a strong conference. One of the resounding themes was the government’s growing emphasis on holding health care executives and board members responsible for organizational non-compliance. The effort is no longer aimed solely at people who are associated with drug and device… Continue Reading

Update: OIG’s Intensive Hospital Audits

By Frank Sheeder on Posted in Enforcement, Government Initiatives, OIG

We addressed the OIG’s ongoing intensive hospital audits in two previous posts: OIG Has New, Intensive Hospital Compliance Initiative, and More About OIG’s Intensive Hospital Audits — Required Reading.  This post updates those discussions based on some recent audit reports. OIG has audited some new issues: Inpatient claims with same-day discharge and readmissions. Inpatient claims for 1-day… Continue Reading

View the OIG HEAT Provider Compliance Training Webcast

By Frank Sheeder on Posted in Administration, Enforcement, False Claims Act, Fraud, Government Initiatives, Medicaid, Medicare, OIG, Reform

OIG has posted a webcast of its HEAT Provider Compliance Training.  It is 3 hours, 45 minutes long.  I will post a summary in the near future.  There is also an OIG HEAT Provider Compliance Training Website at which you can download the corresponding slides and related materials. Get Instant Updates by Email

More About OIG’s Intensive Hospital Audits — Required Reading

By Frank Sheeder on Posted in Administration, Enforcement, False Claims Act, Government Initiatives, Medicare, MSP, OIG

In a previous post, OIG Has New, Intensive Hospital Compliance Initiative, I described the 4- to 6-week onsite audits that the OIG’s Office of Audit Services has initiated at several hospitals across the country.  Several readers asked for more details, so here they are.  This is another example of required reading. . . . The… Continue Reading