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THE COMPLIANCE GUY BLOG

Sep 04 2019
10

Caveat Emptor

By | 2019, Regulatory Compliance, Sean Weiss
Caveat Emptor “The Truth About Evaluation and Management Services & Proprietary Algorithms” by Sean Weiss, Partner & VP of Compliance We have, and will remain in, an industry dominated by fancy terms like predictive analytics and artificial intelligence and words such as proprietary determined by marketing teams at various vendors trying to get their piece...
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Aug 28 2019
10

Business Associate Agreement

By | 2019, Regulatory Compliance, Sean Weiss
Business Associate Agreement “Make Sure You Have Them on File” by Sean Weiss, Partner & VP of Compliance The Health Insurance Portability and Accountability Act of 1996 (HIPAA), also referred to as Public Law 104-191, has been around for more than two decades now. For the first 15 years or so, there was not much...
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Aug 21 2019
10

Co-Management Agreements

By | 2019, Regulatory Compliance, Sean Weiss
Co-Management Agreements “Aligning Hospitals and Providers” by Sean Weiss, Partner & VP of Compliance While the industry is split between physician practices remaining independent versus being acquired and thus being employed, there are other type arrangements that are taking place which have been around for quite a while (mid-00’s); I am referring to Co-management Agreements....
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Aug 14 2019
10

OIG Compliance 101

By | 2019, Regulatory Compliance, Sean Weiss

Each day our industry gains new members who are eager to learn and make a difference in the organizations in which they work. However, many times there is a gap in what they know versus what they should know. Honestly, experience is the best teacher but if along the way we, who have either picked…

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Aug 09 2019
10

Oh HIPAA!

By | 2019, Regulatory Compliance, Sean Weiss
Oh HIPAA! “The Compliant and The Negligent” by Sean Weiss, Partner & VP of Compliance In the words of Edward Porter Humphry “True wisdom is to know what is best worth knowing, and to do what is best worth doing.” When it comes to compliance, and especially Public Law 104-191 Part 160 better known as...
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Aug 08 2019
10

Bad Actors

By | 2019, Regulatory Compliance, Sean Weiss
Bad Actors “Financial Remedies When All Else Fails” by Sean Weiss, Partner & VP of Compliance Today I am going to keep things short and sweet and not because I cannot come up with oodles of things to say. I am keeping it to a minimum today to focus on implementing remedies when you have...
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Aug 01 2019
9

The Civil Investigative Demand

By | 2019, Regulatory Compliance, Sean Weiss
The Civil Investigative Demand “Justice's Aggressive Investigative Tool” by Sean Weiss, Partner & VP of Compliance Prior to any litigation by the Department of Justice (DOJ), a Civil Investigative Demand (CID) will be sent to the party(s) of interest that allows for an investigation of potential allegations of False Claims Act (FCA) liability. These investigative...
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Jul 30 2019
9

Incident-To

By | 2019, Regulatory Compliance, Sean Weiss
Incident-To “It's Not for You” by Sean Weiss, Partner & VP of Compliance Oliver Wendell Homes said, “A moment’s insight is sometimes worth a life’s experience”. It is not often that I beg but begging is how I am going to begin this Blog Post! Please STOP billing for services “Incident-to” because the financial benefit...
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Jul 18 2019
8

Do You Trust Your Employees?

By | 2019, Regulatory Compliance, Sean Weiss
Do You Trust Your Employees? "Skepticism, the Professional Suicide" by Sean Weiss, Partner & VP of Compliance Camillo Benso DI Cavour said, “The man who trusts men will make fewer mistakes than he who distrusts them.” What do you think about that? Do you trust your employees and/or coworkers? Why or why not? I have...
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