Brown, J. (2015). It’s time to review the OIG work plan and address any risks that might exist in your organization: Implementing the work plan into your compliance plan can occur seamlessly. Journal of Health Care Compliance, 1, 39-43. The Office of Inspector General is the ultimate resource for all things related to compliance. This is an excellent work plan to use as a resource and guide for your assignment.
Faget, K. Y., & Shalom, A. (2020). 2020 Update to the DOJ’s evaluation of corporate compliance program guidance. Journal of Health Care Compliance, 22(5), 17–61. The Department of Justice (DOJ) offers guidance for compliance issues that may turn into criminal cases. Here is an important update from the DOJ.
Favre, D., Bodaken, A., Freytes, V., Anderson Lux, E., Marinelli, J., Renfro, S., & Spraker, P. (2020). Health care fraud. American Criminal Law Review, 57(3), 895–972. This article offers current discussion of healthcare fraud from the perspective of criminal law. It will be a useful resource as you develop your assignment for this week. It is not necessary for you to read it in its entirety. Use this as a tool and review for sections that align to your assignment.
Explore resources at the Healthcare Compliance Association The Healthcare Compliance Association (HCCA) was founded by Roy Snell. Explore their website to discover useful resources and current issues related to compliance.
Howard, D. H., & McCarthy, I. (2021). Deterrence effects of antifraud and abuse enforcement in health care. Journal of Health Economics, 75. How much impact does enforcement of fraud and abuse law have on healthcare organizations? Read this interesting article to discover for yourself.
Reigart, C. E. (2017). An old compliance obligation in a brave new overpayment world: A recent audit report highlights overpayment refunds to beneficiaries. Journal of Health Care Compliance, 19(6), 21–24. Overpayment and billing fraud is one of the top issues for healthcare organizations. This interesting article provides a report of audit results.
Sample, J. (2015). Compliance and ethics programmes and the Federal Sentencing Guidelines for Organizations in the United States: Implications for international HRD specialists. Human Resource Development International, 18(3), 295–307. Here is an article that presents the human resource perspective of compliance programs. It offers important insights to guide you in the development of your assignment this week.
Thomas, J. D. (2015). What’s past is prologue: Health care fraud enforcement and what’s ahead for 2015. Journal of Health Care Compliance, 17(2), 9–22. Fraud enforcement is a critical consideration for healthcare administrators. This article offers insights in observed trends in law enforcement.