Healthicity Blog

For years, the OIG has been performing Hospital Compliance Reviews that are essentially data-driven billing analyses of inpatient and outpatient reimbursement.

When most of us hear about OCR enforcement we immediately think about HIPAA, and rightfully so. There’s no doubt that HIPAA has definitely been a big enforcement area for OCR, but remember that OCR stands for the “Office for Civil Rights” and they oversee other areas of enforcement as well.

The OIG has updated their work plan with its January 2018 additions. Let’s take a deep dive into the updates and what they mean for you as a compliance professional.

Last week, I blogged about State Inspectors General in an attempt to draw attention to the efforts states are taking to combat fraud, waste and abuse in healthcare.

We talk a lot about the OIG. So much so that we use the term “OIG” to generally mean the OIG for the Federal Department of Health and Human Services. It is important to stay on top of the Federal OIG work plan, audits, investigations and other initiatives.

Which entity is the largest grant-making organization in the federal government? If you guessed HHS, then you are right. HHS provides more grants than any other group in the federal government. And as most compliance officers know, risk and enforcement tends to follow the money.

It’s that time of year! Everyone is running around trying to complete their 2017 HIPAA Security Risk Analysis as required under Meaningful Use and/or MACRA.

The OIG posted their most recent advisory opinion (AO) on Dec. 11th, 2017. Let’s talk about it.