Breaking Compliance News Blog

Have you tested your compliance hotline lately?

Posted by Margaret Scavotto, JD, CHC on 10/2/19 7:28 AM

The Kansas Medicaid fraud and abuse complaint email inbox went unchecked for 17 months.

According to a report issued by the Kansas Office of the Medicaid Inspector General, 209 emails were unread. 95 of these emails "alleged fraud, waste, abuse, or illegal acts related to Medicaid, MediKan, or SCHIP, or were seeking information on how to report suspected fraud." 42 of these emails contained "partially or wholly substantiated allegations of Medicaid or SCHIP fraud, waste, abuse or illegal acts....

How did it happen?

The complaint inbox went unchecked from August 2, 2017 to January 9, 2019.

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Topics: Hotline, annual review, compliance

2019 Is the Year of the Compliance Program Annual Review

Posted by Margaret Scavotto, JD, CHC on 5/15/19 12:17 PM

All skilled nursing facilities will be required to have conducted an annual review of their compliance programs by November 28, 2019 (and it’s essential for other providers, too).  SNFs who have not conducted an annual review by November 28, 2019 will be in violation of the law.  

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Topics: Compliance Basics, Affordable Care Act, annual review, skilled nursing

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