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Healthcare 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.

OIG revenue cycle

Embrace Your Role as Compliance Project Manager

Effective compliance officers manage multiple projects.

Your success as a project manager impacts your overall effectiveness as a compliance officer. Get methodologies for managing healthcare compliance projects.

regulatory change management revenue cycle

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

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.

Compliance Culture How to payer regulatory change management revenue cycle

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

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

Five ways to show how healthcare Compliance delivers value

five ways to show compliance in healthcare

Compliance leaders with influencer skills employing culturally impactful metrics show the value of compliance programs across healthcare organizations.

Compliance Culture HIPAA OIG regulatory change management revenue cycle Tips

Right-of-access enforcement actions help patients control their health information

Three corrective action plans demonstrate OCR’s expectations for HIPAA compliance. Equip the patient-facing team to meet OCR’s HIPAA Right of Access Initiative

HIPAA revenue cycle