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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.

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.

OIG revenue cycle

Transforming Compliance to a Department of Yes

Transforming Healthcare Compliance to a Department of Yes

Five impactful, interrelated, and critical actions transform Compliance from the “Department of No” to the “Department of Yes,” creating strategic value.

Compliance Culture HIPAA How to OIG regulatory change management Tips

Patient-Focused Elements of an Effective Healthcare Compliance Program

Improve patient experience. Use the OIG’s seven elements to guide and align healthcare compliance with compassionate, quality patient care.

board of directors Compliance Culture HIPAA How to OIG regulatory change management 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

Sanctions and penalties for hiring excluded individuals in healthcare

Enforcement Actions: Sanctions and penalties for hiring excluded individuals in healthcare. Why is it crucial to avoid the risk of hiring excluded individuals? List of Excluded Individuals/Entities (LEIE)

OIG revenue cycle

Show the benefits of investing in your healthcare regulatory compliance program

The Situation – Background-Assessment-Recommendation (SBAR) technique can help you make the case for investment in healthcare regulatory compliance.

How to OIG regulatory change management

Critical Care Services Under the Microscope

Critical Care Evaluation and Management Services (EMS)

Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services to the work plan.

OIG regulatory change management revenue cycle

A million-dollar healthcare compliance monitoring mistake

Avoid this million-dollar monitoring mistake. Help clinical colleagues apply their expertise to your scalable, repeatable healthcare compliance processes.

Compliance Culture OIG payer regulatory change management Tips