Industry Trends » YouCompli

Key Takeaways from OIG’s New General Compliance Program Guidance (GCPG)

“Throughout the GCPG, helpful revisions and clarity are provided to a few areas that have proven problematic over the years.”

HIPAA How to OIG regulatory change management

Mitigating Risks from Online Tracking Technologies

“To protect patients’ privacy and adhere to federal law, compliance professionals must understand what online patient data is being tracked and used by their organization’s website, social media pages, and payment portals.”

HIPAA OIG regulatory change management risk management

Significant Upcoding Risks Emerge with Medicare Advantage

Christi Grimm, the Inspector General of HHS, gave a recent keynote address to compliance professionals. In it, she said, “Simply put, the financial incentives created by risk adjustment may be driving upcoding in the severity of diagnoses to garner additional payments.”

OIG regulatory change management revenue cycle

New DOJ Guidance on Compliance Programs Released March 2023

Incentives, Compensation Structures, and Consequence Management for Healthcare Compliance

Healthcare organizations should benchmark the DOJ Evaluation of Corporate Compliance Programs (ECCP) guidance (March 2023) to assess their compliance program.

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Preparing for the End of the Public Health Emergency

Changes to PHE waivers for Medicare and Medicaid beneficiary patients YouCompli

Changes to PHE waivers and recommendations for hospitals. Compliance must assist and advise on policy, process, contractual, and operational changes by May 2023.

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How the Three Lines Model Strengthens Healthcare Compliance

Implementing the Three Lines Model - Identifying and Mitigating Risks Are Shared Responsibilities

Show that healthcare compliance and operations share responsibility for identifying and mitigating risks with the Three lines Model – a strategic partnership.

How to OIG risk management Tips

Federal and State Agencies Preview 2023 Enforcement Trends

The MHA’s Healthcare Legal Compliance Forum Federal and State Enforcement Update in Dec. 2022 looks at Stark law violations, turbocharging, and 340b programs.

How to OIG payer regulatory change management

COVID-related enforcement actions

PHE-related disbursements continue to drive audit and enforcement actions from the government

Trillions spent through the COVID public health emergency drive audit and enforcement actions from the government. What to do regarding PHE-related risks.

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Telehealth Enforcement

Increasing Scrutiny, Audit, and Enforcement of Telehealth Services

The increase in telehealth services by Medicare beneficiaries drives more scrutiny, audit, and enforcement actions by the Office of the Inspector General (OIG).

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