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By Adam Turteltaub adam.turteltaub@corporatecompliance.org By Adam Turteltaub A merger or acquisition is an expensive proposition for an organization and one that is rich in both business and compliance risks.  That’s particularly true for the healthcare industry, with its substantial regulatory burden and constant change. Shirley Qual and Andrea Ekeberg at UnitedHealthcare will be sharing their […]
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| Categories: Compliance | Tags: Podcasts, acquisitions, compliance, due diligence, ethics, integration, mergers, risk, risk assessment, risk management | View Count: (6)
By Joe Murphy, JD, CCEP, CCEP-I Compliance Strategists jemurphy5730@gmail.com The March 8 Wall Street Journal reports that Chief Justice Roberts is considering whether the Supreme Court should have a code of conduct to address things like harassment. Herein lies a story about the misguided approach to harassment in the US.  In the field of harassment, […]
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| Categories: Compliance | Tags: Hot Topics, Chief Justice Roberts, code of conduct, compliance, sentencing guidelines, Supreme Court | View Count: (8)
By Ricardo Pellafone Founder, Broadcat One of the tough things about ethics and compliance is that it involves a lot of relatively complex, abstract concepts. As a result, it’s really easy to get stuck with fuzzy definitions for things—the kind that sound inspirational and uplifting but are actually pretty hard to put into practice because they’re not […]
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| Categories: Compliance | Tags: Compliance Training, compliance, compliance training, ECEI | View Count: (33)
By Adam Turteltaub adam.turteltaub@corporatecompliance.org Sydney Finkelstein is the Steven Roth Professor of Management at the Tuck School of Business at Dartmouth.  In addition, he is the author of 20 books, including Why Smart Executives Fail, Think Again and SUPERBOSSES:  How Exceptional Leaders Master the Flow of Talent.  And, if that wasn’t enough, he is the […]
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| Categories: Compliance | Tags: Podcasts, business school, compliance, ethics, MBA, risks, Training | View Count: (10)
By Adam Turteltaub adam.turteltaub@corporatecompliance.org No one wants to work under a Corporate Integrity Agreement (CIA), but there are lots of good lessons that can be learned from them. Laura Ellis, Senior Counsel in the Office of Special Counsel to the Inspector General at HHS, and Michael Lampert, a partner in the Boston office of Ropes […]
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| Categories: Compliance | Tags: Podcasts, compliance, Corporate integrity agreement, ethics, OIG HHS, risk assessment, risk management | View Count: (21)
By Adam Turteltaub adam.turteltaub@corporatecompliance.org For a long time corporate internal investigations in Asia tended to be anti-corruption related, reports Robert Hunt, a partner in the Hong Kong office of the law firm.  These days, though, while bribery is still an area of great concern, other issues have started to gain more of the spotlight.  Of […]
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| Categories: Compliance | Tags: Podcasts, aml, attorney-client privilege, compliance, data privacy, export controls, Fraud, gdpr, internal investigations, investigations, money laundering, sanctions | View Count: (16)
27

Training Compliance Officers

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By Justin Muscolino Head of Compliance Training, GRC Solutions In this blog post, Justin Muscolino, GRC Solutions’ Head of Compliance Training in North America, reflects on the benefits of having a training program for Compliance Officers. During my career in compliance training I’ve learned first-hand that you need all the assistance you can get. It’s […]
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| Categories: Compliance | Tags: Compliance Training, compliance, compliance officers, compliance training, culture, Training | View Count: (33)
26

Jane Mitchell on Corporate Culture [Podcast]

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Culture is always discussed as critically important to successful compliance and ethics programs, but what is it exactly? “Culture is what happens when an individual’s behaviors meet an organization’s,” according to Jane Mitchell, the founder and director of JL&M, a consultancy.  In this podcast, Jane, a frequent speaker at SCCE international programs, offers a deep […]
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| Categories: Compliance | Tags: Podcasts, compliance, corporate culture, employee surveys, ethics | View Count: (23)
  By Jamie Kellicut, BSW, CCEP Lac Courte Oreilles Band of Lake Superior Chippewa Indians of Wisconsin Senior Compliance Officer with Forest County Potawatomi Gaming Commission, Milwaukee, WI As a Compliance Officer in tribal regulation I have at times struggled with keeping my culture at the forefront of my compliance work. But a few years […]
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| Categories: Compliance | Tags: Compliance, code of conduct, compliance, compliance officer, cultures, ethics, Seven Grandfather Teachings | View Count: (23)
21

Fraud Doesn’t Pay for Healthcare Providers

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Fraud Doesn’t Pay for Healthcare Providers
An EHR vendor recently agreed to pay over $57 million to resolve allegations that it had caused its users to submit false claims to the government. With other recent Justice Department cases, it has become clear that this is not a unique occurrence. Fraud can happen at any type of healthcare organization, and the penalties are always high. Between fines, settlement agreements, exclusion from federal programs, and jail time, one thing is clear: fraud is not worth it.
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| Categories: AIHC Professional Articles | Tags: DOJ, OIG, Providers, Compliance, Audit, Forensic Audit, Health Care Fraud, Billing, EHR, Healthcare Employees, Training, Healthcare Payers, Medicare and Medicaid, False Claims Act, Anti-Kickback Statute, Stark Law | View Count: (294)
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Articles written by the American Institute of Healthcare Compliance are under Copyright Notice: © 2016-2019 American Institute of Healthcare Compliance, Inc. All Rights Reserved. Views expressed through RSS feeds or remarks made on this blog or website are solely those of the original authors and other contributors and do not necessarily represent those of the American Institute of Healthcare Compliance and/or staff.