Insights
Health Care Principal Fran Grabowski Examines the Increased Scrutiny of Government Program Compliance in Dec. 31 Legal Intelligencer
Health Care Principal Mary Frances Grabowski looks at the scrutiny faced by businesses and individuals that participate in government programs, including the Special Supplemental Nutrition Program for Women, Infants and Children (WIC) and the Pennsylvania Medical Assistance (MA) program, in the December 31 issue of The Legal Intelligencer.
In the article, "Compliance Is Essential for Businesses in Gov't-Funded Programs," Ms. Grabowski comments that, "with the advent of the Affordable Care Act (ACA) and recent rulings from the Commonwealth Court, individuals and businesses that take public money must remember that effective compliance programs are not just a best practice, they are essential."
She continues:
"Casual compliance is not enough to stave off the risk and penalty associated with noncompliance under government-funded programs. Given the increased scrutiny by government regulators, and the Commonwealth Court's inclination to uphold strict enforcement of government program requirements and the imposition of sanctions, even when noncompliance results in nominal overcharges, providers may wish to revisit their compliance plans to ensure they are effective in identifying and correcting potential problem areas."
