Launch of Whistleblower Pilot Program Should Prompt Review of Compliance Program
Many, if not most, healthcare provider compliance programs identify overpayment from Federal Payers – particularly Medicare and Medicaid – as a key risk. Whistleblowers frequently initiate government scrutiny related to Federal payors. As a result, many compliance programs focus on the Federal piece of their payor mix. Providers that do not enroll with Federal payors or for whom Federal payors are a small portion of their payer mix may have chosen to commit fewer resources…
