The tips below explore how you can convince leaders that a strong compliance culture adds value to the organization. These best practices can help you establish a healthy compliance culture with effective training and measurement and, in turn, enable your organization to better manage and control risk.
Continue readingHealthcare Compliance Risks with Urine Drug Testing Overpayments
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 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 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 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.
Continue readingA 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.
Continue readingTwo metrics that demonstrate the impact of your compliance culture
Metrics for healthcare compliance culture impact. OIG Supplemental Compliance Program Guidance 2005, and the Evaluation of Corporate Compliance Programs, 2020.
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