regulatory change management » YouCompli

Reversing Conventional Thinking About Compliance 

Explore how compliance professionals can prove their true value in organizations, dispel misconceptions, and effectively mitigate risks. Real-world examples illustrate the tangible impact of robust compliance departments.

New, Stronger Evaluation and Management Upcoding Enforcement

upcoding enforcement evaluation and management CJ Wolf

“Earlier this year, regulators made the most significant changes to E&M documentation and coding guidelines in over two decades. They’re more complex than ever before, and enforcement actions are increasing.”

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Our Youth Mental Health Crisis: How Compliance Can Help Providers Address It

youth mental health crisis denise atwood

“While youth intervention is not a traditional focus for compliance professionals, they have a vital role to play here. Ensuring that assessment tools are easily available for pediatric providers is critical.”

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How to Make a Compliance Culture Contagious

“In the business of healthcare, promoting a culture of compliance is not merely a goal – it’s a necessity. There has to be a commitment throughout all levels of an organization to do the right thing and do things right. The organization needs to have a compliance culture that is contagious.”

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Increasing Enforcement of Modifier Codes

“Enforcement agencies like to “follow the money,” so to speak, and they often find it in medical claims submitted to government payors such as Medicare and Medicaid. This is why selecting appropriate modifier codes is essential for operating and being reimbursed compliantly.”

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Three Ways to Take a Service-Minded Approach to Compliance

“We’re continually being asked for advice to help our healthcare leaders. Essentially, we are acting as a customer service representative. For that reason, if you want to improve the culture of compliance and get those leaders’ buy-in, then make sure you’re delivering great service when consulting to them.”

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Improving Patient Care With a “Prevent, Detect, Report” Strategy

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“This three-pronged strategy focuses on educating patients and staff about how to avoid misconduct. It also emphasizes training individuals on how to recognize and report FWA violations when they see them.”

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Project Management Methodologies for Healthcare Compliance

“As a compliance officer, you undoubtedly manage a multitude of simultaneous projects of different scope, size, and duration. It isn’t always easy, but it is worthwhile to continuously evaluate your project management methodologies and look for ways to enhance your skill set.”

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Recent Telehealth Enforcement and How to Prepare  

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“As healthcare fraud, waste, and abuse continues to emerge, and poses more of a risk to organizational compliance, professionals should become familiar with some of the potential areas of noncompliance associated with telehealth.”

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