Lexology August 29, 2023
Phelps Dunbar LLP

Businesses involved in the health care industry should review their compliance programs. Both the Department of Justice (DOJ) and Office of the Inspector General (OIG) recently signaled a renewed focus on enforcing compliance sanctions, and the effectiveness of a company’s compliance program could make a major difference during investigations.

Previous Federal Focus on Compliance Programs

During the 1990s, as Medicare program costs increased—and along with them a government focus on health care fraud and abuse—the OIG of HHS began to encourage voluntary compliance programs. The programs aimed to engage the private health care sector in preventing inappropriate conduct in federal health care programs. OIG issued a series of compliance program guidance for 11 types of health care providers, including hospitals,...

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Topics: Govt Agencies, OIG, Provider, Regulations
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