CJ Wolf
What about when there is no sufficient information to substantiate an allegation. What is the best practice for documentation purposes?
CJ Wolf
If you haven’t had the time yet to read all 90+ pages of the OIG’s New Compliance Program Guidance, we’ve got a great place for you to start.
CJ Wolf
Most medical coders, auditors, and compliance professionals are aware of the Centers for Medicare and Medicaid Services (CMS) Targeted Probe and Educate (TPE) program. It is designed to help providers and suppliers reduce claim denials and appeals through one-on-one help.
CJ Wolf
November was a very busy time for the Department of Health and Human Services Office of Inspector General (OIG) Work Plan. Fifteen new items were added during the month. Below are some of the notable items added this last month.
CJ Wolf
The first major revision to the Evaluation and Management (E&M) coding and documentation guidelines in over two decades has put the spotlight the importance of Medical Decision Making (MDM) as the essential element when choosing an E&M level that isn’t time-based.
CJ Wolf
In past years at Thanksgiving time, we’ve written about the reasons compliance professionals should be thankful for working in the compliance profession. This year, let’s explore why organizations should be grateful for you, the compliance professionals, who build and manage compliance programs.
CJ Wolf
On our latest episode of Compliance Conversations, we’re taking an in-depth look at the revenue cycle and coding. We’re joined by Stephanie Perry, the outpatient medical supervisor for e4health, as she shares insights from her 12 years of experience in coding, auditing, training, and leadership...
CJ Wolf
Reporting incidents of potential fraud should be on every compliance professional’s radar (because it’s definitely on the OIG’s).
