Auditing and monitoring are core pillars of any effective compliance program. But as regulatory expectations evolve and OIG findings become increasingly detailed, it’s more important than ever for compliance teams to ensure their audit plans are aligned with current risks.
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Posts by Brian Burton:
How Health Systems Are Replacing Fragmented Oversight with Enterprise-Wide Compliance and Auditing
Cybersecurity Awareness Month: Four Easy Steps to Safer Data & Stronger HIPAA Compliance
Cybersecurity might sound like a job for your IT department, but the truth is that protecting sensitive data starts with every person in your organization. October is Cybersecurity Awareness Month, making it the perfect time to brush up on the habits that keep both you and your patients safe.
Applying OIG’s Seven Elements of Compliance in Behavioral Health
Behavioral health providers face a unique set of compliance challenges. From protecting patient privacy to managing sensitive documentation and ensuring ethical care delivery, the stakes are high. That’s why the Office of Inspector General’s (OIG) Seven Elements of an Effective Compliance Program...
Elevating Compliance Education: Tools, Tips, and Real-World Success
Considerations for Billing “Incident-To" Correctly
For many healthcare practices, “incident-to” billing is a common strategy used to increase Medicare reimbursements. It sounds like a smart revenue move. But without a clear understanding of the rules, it can also be a compliance landmine.
Learn How to Track Compliance Incidents More Effectively
The 60-Day Rule: What Healthcare Professionals Need to Know
The 60-day rule under the Affordable Care Act is one of the most important compliance regulations for healthcare providers accepting Medicare or Medicaid payments. It requires organizations to identify, report, and return any overpayments within 60 days of discovery. Failure to comply can lead to...