Urine drug testing overpayments drove up to $216 million in overpayments to Medicare over five years, according to a recent OIG audit report.
Continue readingThe Three Lines Model for Healthcare Compliance
Show that healthcare compliance and operations share responsibility for identifying and mitigating risks with the Three lines Model – a strategic partnership.
Continue readingCompliance Risks Associated with Outlier Payments
Protect healthcare revenue: reduce the risk of fines and payback for inappropriate outlier payments created by unjustified price increases.
Continue readingTransforming 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.
Continue readingPatient-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.
Continue readingFederal 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.
Continue readingSanctions 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)
Continue readingShow 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.
Continue readingCritical Care Services Under the Microscope
Complex and billed at a higher rate, OIG added physicians billing for critical care evaluation and management services to the work plan.
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