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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.

The Three Lines Model for 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.

audit Clinical collaborate compliance effective compliance healthcare healthcare compliance hospitals IIA Institute of Internal Auditors Ken Kenneth Mitigate risk OIG OIG's seven elements operations seven elements strategic partner Three Lines Model value Zeko

Compliance Risks Associated with Outlier Payments

Protect healthcare revenue: reduce the risk of fines and payback for inappropriate outlier payments created by unjustified price increases.

chargemaster compliance Compliance Risks Enforcement healthcare hospitals Inpatient Prospective Payment System OIG outlier payments Outpatient Prospective Payment System payors price increases revenue risk

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.

2023 compliance David S. Schumacher Enforcement Eric Eric Gold Gold healthcare hospitals Jennifer Goldstein Massachusetts Massachusetts Attorney General’s Office Massachusetts Health and Hospital Association Massachusetts's Medicaid Fraud Division Steven Sharobem turbocharging US Attorney’s Office in Massachusetts

Healthcare Compliance is Everybody’s Business: Clinical, Revenue Cycle, IT, Sales and Marketing

Effective healthcare compliance requires a strong relationship with Nursing, Physicians, Revenue Cycle, IT, Sales and Marketing

Build relationships with these key clinical and operational areas – Nursing, Physicians, Revenue Cycle, IT, Sales and Marketing. Help them achieve their goals.