Healthicity Blog

The OIG recently released their 2017 work plan. And the information can make or break your organization’s compliance program.

Seriously, you don’t want to mess with the OIG. Just last year they performed 1,662 exclusions, 428 criminal actions and 383 civil actions.

In last week’s blog post we examined the “ownership” requirements of a recently published CIA. This week we continue to dive deeper into the CIA by reviewing the requirements surrounding written standards/policies, training/education, and auditing/monitoring.

This week, let’s dive deeper into the requirements of a recent corporate integrity agreement and what your organization can learn from it.

11,343 individuals and entities have been excluded from participation in federal healthcare programs. The federal government has been awarded or negotiated over $6.8 billion in healthcare fraud judgments and settlements.

As we discussed in our previous incident management posts, your compliance program doesn’t need to be perfect, but rather, it needs to be “generally effective” in preventing non-compliance.

Last year two doctors in Long Island, Dr. Vikas Desai, and Dr. Robert Maccone, entered into separate civil settlement agreements where they agreed to pay the United States a total of $1,120,299 dollars to resolve allegations

"A Code of Conduct is fundamental to a successful compliance program because it articulates the organization’s commitment to ethical behavior.”

Having an effective compliance program is absolutely crucial but measuring the success of any compliance program can be difficult. Available measures of success are not always industry-specific.