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Compliance News Roundup: Sensegiving in Change Management and Compliance

Posted by Healthicity, Aug 16, 2017 11:00:00 AM

1. Pitt County Behavioral Health President Pleads Guilty to Medicaid Fraud Conspiracy and Perjury Charges - “The United States Attorney for the Eastern District of North Carolina John Stuart Bruce Office announced that yesterday in federal court, Shephard Lee Spruill, II, 46, of Winterville, North Carolina, pleaded guilty to Conspiracy to Commit Health Care Fraud, and Perjury.

How to Correctly Code TCM Services: Everything You've Ever Wanted to Know

Posted by Elizabeth Wright, Aug 15, 2017 12:58:17 PM

Sometimes, when I mention coding and documenting Transitional Care Management, coders and auditors will get a crazy look in their eye that can best be described as, “subtle fear.”

But don’t panic, it’s easier than you think!

Deeper Than the Headlines: Sensegiving in Change Management and Compliance

Posted by CJ Wolf, Aug 14, 2017 12:07:23 PM

Sensegiving in Change Management

Recently, I was talking with a friend, a long-time compliance colleague. As we grew more comfortable in the conversation, he confided in me some current frustrations in his compliance leadership role.

Podcast: Avoid Coding Risks With These Super Simple Expert Tips

Posted by CJ Wolf, Aug 10, 2017 12:40:07 PM

For this episode of Compliance Conversations, I sat down with Chad Peterson, a senior consultant at a large hospital, in their professional coding and reimbursement group. He educates physicians, mid-level providers/ advanced practice providers and even ancillary staff about E/M coding.

Compliance News Roundup: Lookout for Compliance Issues with the 340B Drug Pricing Program

Posted by Healthicity, Aug 9, 2017 12:47:52 PM

1. Vanderbilt University Medical Center pays $6.5M to resolve Medicare fraud allegations: “Vanderbilt University Medical Center paid $6.5 million to settle a whistleblower suit alleging VUMC committed Medicare fraud between 2003 and 2011, according to a Tennessean report.

The Misadventures of Ada: Knitting Her Way to Disaster ICD-10 Code Y93.D1

Posted by Healthicity, Aug 8, 2017 12:26:41 PM

Ada recently set out to learn how to knit. Knitting is known for bringing a sense of calm joy to practitioners. It’s something to do with your hands, a way to relax, unwind, all while creating interesting gifts (some lovely, some weird) for your friends and loved ones. A table doily, some baby booties, or a scarf, anyone?

Deeper Than the Headlines: Lookout for Compliance Issues with the 340B Drug Pricing Program

Posted by CJ Wolf, Aug 7, 2017 1:39:25 PM

340B Drug Pricing Program

The 340B drug pricing program was authorized by Congress in 1992 to generate savings for certain safety-net healthcare providers by allowing them to purchase outpatient drugs at discounted prices. It is estimated that the savings to 340B providers attributable to the program in 2015 was $6 billion.

Long-Term Care: Essentials for Implementing the Reform of Requirements

Posted by CJ Wolf, Aug 3, 2017 2:19:07 PM

The Centers for Medicare and Medicaid Services (CMS) issued the Reform of Requirements or Long-Term Care Facilities in 2016 with a three-part phased implementation.