Recapping 2024 and Ringing In 2025
CEO Jerry Shafran has prepared a festive video to help us wrap up the year. We wish you a safe and happy Holidays and New Year!
Jerry Shafran
December 18, 2024
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Recent Blogs
The HIPAA Reproductive Health Rule: A Potential Plot Twist
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Susan Thomas
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Building a Quality Education Program That’s Good Enough
“The first thing that you should understand is this: you don’t have to build the perfect program. Your education program just needs to be good enough to ensure employees have the training needed to demonstrate core knowledge and pass audits and inspections.”
John R. Nocero, Ph.D. Andrea L. Bordonaro, MAT
December 3, 2024
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“As regulations change or investigations are needed, we often get pushed to work faster, meet tighter deadlines, and juggle multiple tasks simultaneously. While this approach might seem efficient on the surface, it often leads to several downsides—burnout, decreased productivity, and a decline in the quality of work.”
Jay P. Anstine, JD
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“Both of these are tools in your toolkit, so why limit yourself to one or the other? Determine which of the two is the best tool for your organization and use it appropriately.”
John R. Nocero, Ph.D. Andrea L. Bordonaro, MAT
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02 January 2024
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If we want to improve our organizations’ compliance culture, then we need to interact with our healthcare leaders...
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The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization....
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Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services...
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11 May 2022
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Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
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“Compliance officers can make the most of the new GCPG to meet the requirements of the OIG’s seven elements in a...
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About the Medical Necessity Series
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Compliance risks associated with medical necessity happen when providers fail to show clinical evidence that a service...
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How to Prepare for New CMS Final Rules and Transmittals
It’s the nature of our mission to stay on top of what’s happening in the world of healthcare compliance....
09 October 2025
OIG Cites Fraud, Waste and Abuse Concerns with Skin Substitutes
Many compliance professionals rely on HHS OIG focus areas as they perform risk assessments and plan subsequent auditing...
27 August 2025
Know the Compliance Risk for Certain Anesthesia Services
A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement....
21 August 2025
Audit Readiness? How about Audit Etiquette?
In this blog, experts offer the real scoop on audit readiness in healthcare. Learn the unfiltered truth about compliance...
13 August 2025
Mitigating Conflicts of Interest that Drive Profit Over Health
A conflict of interest (COI) in healthcare occurs when a person or organization involved in medical decision-making,...
30 July 2025
How to Avoid Compliance Risk in Peripheral Vascular Reimbursement
Peripheral vascular disease (PVD) reimbursement is fraught with potential compliance pitfalls. With increased scrutiny...
11 June 2025
Exclusion Screening Failure Causes Compliance Nightmare
In Q3, the exclusion screening software glitched. It missed a monthly sync. Then a second. By the third missed month,...
27 March 2025
Healthcare Audit? Stay Ready. Don’t Get Ready.
"Audit readiness in quality is no different than anything else – follow a pre-defined process to the letter, tweak...
18 March 2025
What Happens When Integrity and Accountability Fail: Lessons for Compliance Professionals
"The U.S. opioid epidemic holds important lessons for compliance professionals. This public health crisis is characterized...
11 March 2025
New Regulation– Now What? Step-by-Step Guide to Managing Compliance Changes
"With regulations often spanning hundreds of pages, how can compliance teams efficiently manage the process without...
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