Six key steps to reduce the impact of telehealth audits

Telehealth is almost as old as the telephone itself. In 1879 – just three years after Bell patented the telephone – an article in Lancet described the concept and advocated its adoption.  A law that’s even older can trigger many telehealth audits today. The 1863 False Claims Act (FCA) was enacted to keep profiteering contractors from defrauding the Union army. It can trigger serious problems for hospitals that don’t take proactive steps […]

5 payer audit errors

5 Payer Audit Errors Every Hospital Must Avoid

Revised September 2022 Most healthcare providers, from large hospitals to solo practitioners, experience an external audit at some point. The scrutiny can unveil errors and violations, which can lead to hefty penalties.  The key to surviving an external audit, with the least amount of frustration, is to avoid these five common mistakes.  1. Late Responses […]

Audit Expectations and Challenges

When it comes to hospitals providing best-in-class health care, stress comes with the territory. From stabilizing trauma victims, to accurately distributing medications, to physicians and nurses working long shifts, increased demands are everywhere — including operations not directly involved with patient care. One demand that can turn daily routines completely upside-down and compound stress is […]

Don’t Let Pain Injections Cause Regulatory Compliance Pain 

A recent OIG audit found that Medicare improperly paid an estimated $15.2 million for SI joint injections. CJ Wolf examines the coverage, billing, medical necessity, and documentation failures behind the findings and identifies three actions healthcare compliance teams can take to reduce risk.