Health Care Compliance Association (HCCA)

Compliance Today (April 2022) - Conflicts of interest—actual, potential, or even just perceived—exist at all levels within every organization. Most organizations are aware potential conflicts exist but often do not also see… more

Chief Compliance Officers, Code of Conduct, Compliance, Compliance Monitoring, Conflicts of Interest

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Theresa Defino

‘We Cannot Do It Alone’: Cutbacks in Federal Funds, Engagement Spur Cries for HIPAA Help, New Laws

At the very top of Fisher-Titus Medical Center’s website is a link to the Change Healthcare HIPAA notice informing visitors of the last day to register for credit monitoring related to the world’s largest breach, which exposed… more

Cybersecurity, Cybersecurity Information Sharing Act (CISA), Data Breach, Department of Homeland Security (DHS), Federal Funding

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David Hoffman

Utilizing the MDS as a resident's rights and risk-reduction strategy in long-term care

CT magazine (October 2022) - The frailty syndrome is an emerging concept for providers who care for individuals with significant comorbidities, advanced age, or a decline in functional or cognitive status; the more typical… more

Chief Ethics and Compliance Officers (CECO), Elder Care, Health Care Providers, Home Health Care, Long Term Care Facilities

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David Horsager

Building better culture and compliance with trust

Ethikos newsletter (July – Sept 2022) - Effective compliance and ethics programs have become goals of companies and organizations worldwide. Reaching this objective is possible, but it cannot be achieved without a culture… more

Chief Compliance Officers, Chief Ethics and Compliance Officers (CECO), Compliance, Corporate Culture, Corporate Governance

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Amy Joseph

Telehealth regulatory oversight and enforcement trends

CT magazine (July 2022) - One of the notable impacts of the COVID-19 pandemic on the healthcare industry has been the boom in services provided via telehealth. This boom is in part due to temporary flexibilities applied at… more

Audits, Coronavirus/COVID-19, Department of Health and Human Services (HHS), Department of Justice (DOJ), Enforcement Actions

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Lisa Beth Lentini Walker

ESG and Compliance

ESG has exploded, but what is it and what is the role for compliance teams? Lisa Beth Lentini Walker, CEO & Founder of Lumen Worldwide Endeavors and a member of the board of the Society of Corporate Compliance and Ethics &… more

Chief Compliance Officers, Chief Ethics and Compliance Officers (CECO), Compliance, Corporate Governance, Corporate Social Responsibility

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Kelly McLendon

Patient information access automated with the Cures Act

Compliance Today (May 2022) - United States healthcare professionals and patients stand upon the cusp of unprecedented, burdensome regulatory changes that will affect automation and how we manage access to patient information… more

21st Century Cures Act, Automation Systems, Best Practices, CARES Act, Centers for Medicare & Medicaid Services (CMS)

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Michael Morse

The emerging battle over 'objective reasonableness' in False Claims Act cases

CT Magazine (June 2022) - The Medicare and Medicaid programs are exceedingly complex, and navigating the myriad statutes, regulations, rules, and guidance presents significant challenges for all healthcare providers and… more

Ambiguous, False Claims Act (FCA), Health Care Providers, Medicaid, Medicare

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Jeremy Sherer

Telehealth regulatory oversight and enforcement trends

Audits, Coronavirus/COVID-19, Department of Health and Human Services (HHS), Department of Justice (DOJ), Enforcement Actions

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Jonathan Turner

Compliance, Project Management, and Process Improvement

Krista Muszak is organized. More importantly, the longtime compliance professional and Senior Manager, Regional Process & Optimization Lead for Pfizer knows how to keep others organized as well. She will be sharing some of this… more

Chief Compliance Officers, Compliance, Compliance Management Systems, Corporate Counsel, Health Care Providers

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Jennifer Vessels

The risk is coming from inside the house: Information blocking and non-EHR data

CT magazine (September 2022) - In the classic 1979 horror film When a Stranger Calls, a babysitter phones the police to report a series of increasingly threatening and frightening prank calls. The police manage to trace the… more

21st Century Cures Act, EHR, Electronic Medical Records, Electronic Protected Health Information (ePHI), Health Care Providers

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Ilene Warner-Maron

Utilizing the MDS as a resident's rights and risk-reduction strategy in long-term care

Chief Ethics and Compliance Officers (CECO), Elder Care, Health Care Providers, Home Health Care, Long Term Care Facilities

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C. J. Wolf

Enforcement actions relating to a lack of medical necessity

In a climate of shrinking margins, diminishing reimbursement, and frequent denials, healthcare organizations may make efforts to increase the volume of services they provide, especially those that are more profitable. Of course,… more

Chief Compliance Officers, Compliance, Department of Justice (DOJ), Enforcement Actions, False Billing

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Nina Youngstrom

In Biggest Stark-Based FCA Settlement Ever, Indiana Hospital Pays $345M, Has Unusual CIA

Community Health Network (CHN) in Indiana has agreed to pay $345 million to settle false claims allegations that it paid over-the-top salaries to hundreds of physicians and rewarded them for their referrals in violation of the… more

Anti-Kickback Statute, Civil Monetary Penalty, Compensation, Competition, Compliance

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Health Care Compliance Association (HCCA)

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