“There’s another incredibly helpful resource that some might not be as familiar with: the list of services that Medicare Administrative Contractors (MACs) include in their Target, Probe and Educate (TPE) plan.”
Continue readingFive Tips for Making Better Compliance Decisions
“Whether you’re resolving a complex billing issue, or advising your leadership team about a business proposal, the ability to effectively make decisions is a valuable asset for any compliance officer.”
Continue readingTips for Avoiding “Knowledge Blind Spots”
“Keep in mind that your healthcare leaders often will not be as knowledgeable about requirements in regulations or something else as you are. For that reason, what may seem like an obvious concern to you may not be so obvious to them. Be open to the fact a gap may exist, and give them grace if they made a decision that unintentionally creates an issue that needs to be corrected.”
Continue readingHow to Avoid False Claims Related to Medical Necessity
“There is no silver bullet to solving medical necessity risks as they relate to medical claims submitted to payers such as Medicare. That said, these tips can be a starting point for compliance programs who know they need to minimize their compliance risk around medical necessity.”
Continue readingWhen Compliance is the Problem: “Us” Versus “Them”
“By bridging the gap between “us” and “them,” compliance teams can transform the perception of compliance teams from being an obstacle into being a collaborative partner and member of their team.”
Continue readingTips for Handling Tough Feedback
“Handling tough feedback is never easy, and quickly challenges your ability to remain professional. With the right mindset and approach though, it can be a powerful asset for your growth and development.”
Continue readingHow to Properly Use the G2211 Evaluation and Management Code
“Code G2211, which can be added to specific E/M codes under certain circumstances, is now separately reimbursable by Medicare.”
Continue readingTips for Overcoming Four Common Blind Spots in Communication
“Falling victim to communications blind spots can damage your relationships with healthcare leaders and contradict your efforts to build a strong compliance culture.”
Continue readingThe ABC’s of Integrating AI Into Your Compliance Strategy
“By taking a practical approach to this complex topic, you will be viewed positively by your team and able to respond well to questions about AI risks from your business partners, the C-suite, and your Board of Directors.”
Continue reading