The AIS Guide to Blue Cross and Blue Shield Plans: 2010

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Articles on
Compliance Strategies

Government Resources
HIPAA Resource Center


Stories are listed in chronological order,
with the most recent appearing first.

Workload, Responsibility of Compliance Departments Grow With Heightened Government Enforcement 
Proven Strategies That Can Be Used to Question Employees Suspected of Wrongdoing   
Drug Diversion Needs More Compliance Attention; Hospital Technician Is Heading to Prison 
CMS: Supervising Physicians Can Be Anywhere on a Hospital’s Campus Under the Outpatient Prospective Payment System 
HHS OIG Holds Ex-Hospital Exec Responsible for Alleged Stark Violations and False Claims; More Cases Against Executives Should Be Expected
Use of Interim Compliance Officers Meets Need for Internal Reviews and Buys Time in a Transition
In-house Compliance Hotlines Can Provide a Wide Range of Assistance to Employees 
ICD-10 Will Reduce Payment Errors and Claims Denials, but Will Also Help Fraud Investigators
Six Steps That Can Be Taken to Reduce Serious New False Claims Risks Under Stark Physician Self-Referral Provisions
Billing Medicare for Wasted Pharmaceuticals Now Hits Compliance Radar Screen
Multifaceted Scenarios Remove Boredom From Compliance Training
Conflicting CMS Guidance About Physician Signatures on Orders Creates a Quandary for Hospitals
Pressure Mounts to Manage Medical Device Vendor Reps in Operating Room
Compliance Officers Urged to Get Back to Basics in 2009 as Enforcers Focus on Big-Picture Risks
Physician Documentation Is Still Lacking; Inadequate Coding Raises Medicare Compliance Risks
OIG Deputy Chief Imparts Key Lessons Learned From Corporate Integrity Agreements
Scorecards Demonstrate to Board Members How Compliance Activities Are Reducing Risks
Easy Fixes Can Help Shore Up Ineffective Compliance Programs
'Staged' Calls to Compliance Hotlines Can Help Separate Effective Operators From Bad Performers
Congress Moves to Boost Attorney-Client Privilege; Know What Is and Isn't Protected
Pressure Mounts for Audits of Physician Contracts; Tax Forms Are Used to ID Problems
Practical Steps for Dealing With Surprise Visits From Government Agents
Strong Utilization Review Committees Can Prevent Inappropriate Hospital Admissions
Disruptive Physicians Heighten Hospital Risks at a Time When Collaboration Is Key to Effective Compliance
Transmittal Poses Threat to Provider-Based Clinics; Supervision Issue Is Muddied
Hospitalists Can Help Reduce Rate of Medically Unnecessary Admissions
CMS Plans to Hold Back 2% to 5% of DRG Reimbursement and Allow Hospitals to Earn It Back By Achieving Quality Goals
CMS Opens Some Doors, Closes Others in its Third Regulatory Go-Round on the Stark Physician Self-Referral Law
Compliance Risks Grow With Electronic Medical Record Systems
Operational Changes May Improve Income, Compliance With Post-Acute Care Transfers
Strategies to Limit Your Exposure to Potential Whistle-blower Cases
Scorecards Measure Effectiveness, Motivate Managers, Employees

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