by Evan Gwilliam | Nov 10, 2024 | Compliance
The Office of the Inspector General (OIG), which is part of the Department of Health and Human Services (HHS), is an agency that works to prevent fraud, waste, and abuse (FWA) in government programs. It focuses on Medicare and Medicaid, as well as about...
by Evan Gwilliam | Oct 27, 2024 | Compliance
The Office of the Inspector General (OIG), part of the Department of Health and Human Services (HHS), has the authority to seek civil monetary penalties (CMP) for a wide variety of conduct that may be considered abusive or fraudulent. This includes getting paid...
by Evan Gwilliam | Oct 13, 2024 | Compliance
he Office of the Inspector General (OIG), which is part of the Department of Health and Human Services (HHS), was created in 1976 to address ten years of backlogged cases of fraud, waste, and abuse (FWA) related to Medicaid programs. But it didn’t really get...
by Evan Gwilliam | Sep 29, 2024 | Compliance
The Physician Self-Referral law (PSL), or Stark law, as it is sometimes called, limits physician referrals for Medicare and Medicaid patients when there is a financial relationship with the entity to which the patient is sent. This applies to “designated health...
by Evan Gwilliam | Sep 15, 2024 | Compliance
In some business sectors, it is totally acceptable to offer or receive gifts to reward past or future referrals; however, this is not the case in health care. The Anti-Kickback Statute prohibits asking for or receiving anything of value in exchange for referrals...
