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Know the Compliance Risk for Certain Anesthesia Services 

Know the Compliance Risk for Certain Anesthesia Services header image

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement. This detailed blog by compliance expert, CJ Wolf, will bring you up to date on the compliance risks associated with certain anesthesia services.   

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Audit billing OIG payer risk management

How to Avoid False Claims Related to Medical Necessity  

blog feature image

“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.”

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How to payer revenue cycle TIP SHEET Tips

YouCompli Brings Unique Value-Creating Compliance Technology to Healthcare Payers 

“YouCompli, the leading provider of SaaS healthcare compliance solutions, today announced that its flagship platform is now available for use by the payer side of healthcare organizations.”

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payer regulatory change management

How Social Determinants of Health Influence Compliance Culture  

Jay anstine social determinants of health influence compliance

“By being aware of how your leaders think, you will uncover social determinants of compliance and understand their potential impact on the organization. You can then respond and assist accordingly, or remove barriers to successful compliance deliverables.”

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Compliance Culture payer regulatory change management

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.

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How to OIG payer regulatory change management

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.

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Compliance Culture How to payer regulatory change management revenue cycle

A million-dollar healthcare compliance monitoring mistake 

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.

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Compliance Culture OIG payer regulatory change management Tips

Your Board Committee is only as effective as you make it

Healthcare Compliance Committee Effectivenes

Compliance officer effectiveness: Ten ways to develop and maintain a trusted and transparent relationship with your healthcare compliance board committee.

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How to payer regulatory change management

Beneficiary inducement rule changes promote coordinated care   

Patient Care Beneficiary Inducement Blog Featured

The OIG’s Beneficiary Inducement Final Rule is part of HHS Regulatory Sprint to Coordinated Care – Advancing the transition to value-based care.

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OIG payer regulatory change management risk management
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