DHA-7006 v2

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.

CMS. (2021). Medicare fraud & abuse: Prevent, detect, report. Medicare Learning Network (MLN). https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Fraud-Abuse-MLN4649244.pdf
This is an excellent resource to use for training and education of employees in any healthcare organization. It was created by Centers for Medicare and Medicaid (CMS). Use this as a resource to prioritize and develop part of your organizational compliance plan for your Signature Assignment.

Department of Justice (DOJ). (2023). U.S. Department of Justice Criminal Division: Evaluation of Corporate Compliance Programs https://www.justice.gov/criminal/criminal-fraud/page/file/937501/dl
Healthcare executives should go right to the source to evaluate their compliance programs. Using the guidance of the Department of Justics (DOJ) is the direct and best way to evaluate the effectiveness of your compliance program. Use this guidance to develop and review your compliance plan that you create for your Signature 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.

Hut, N. (2023) 5 issues that are keeping healthcare compliance professionals up at night. HFMA. HTTPS://WWW.HFMA.ORG/LEGAL-AND-REGULATORY-COMPLIANCE/COMPLIANCE/5-ISSUES-THAT-ARE-KEEPING-HEALTHCARE-COMPLIANCE-PROFESSIONALS-UP-AT-NIGHT/
This is a practical and very relevant summary of the five compliance issues that are on healthcare leader's minds. Pay close attention to the discussion of the responsibility to educate the board and ensure that organizational governance has a strong role in mitigating compliance risk for healthcare organizations.

Infante, D. (2024) Compliance challenges in healthcare: Balancing innovation and regulation. Medical Life Sciences News. Last Updated: Mar 8, 2024

McGreal, P. E. (2019). Corporate compliance survey. Business Lawyer, 4, 1179-1203.
This article offers insights into corporate compliance from the attorney point of view.

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.