Physician group practices face mounting regulatory responsibilities, but many continue to overlook compliance blind spots that can carry major financial and reputational consequences.
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Posts by CJ Wolf:
Exploring Medical Coding Allegations in a High-Profile Case
In this episode of Deeper Than the Headlines, CJ Wolf walks us through the details behind a headline that’s making waves: A Minnesota couple indicted in connection with allegations around a $15 million medical billing fraud case. At first glance, it might seem like another fraud story—but a deeper...
Deeper Than the Headlines: When Telehealth Billing Crosses the Line
In this episode of Deeper Than the Headlines , we take a closer look at the recent case involving a physician group and its owner who agreed to pay over $152,000 to resolve civil allegations of False Claims Act violations. At the heart of the issue? Improper billing for telehealth services during...
February 2025 OIG Work Plan Updates: What’s Changing?
New HCPCS Codes for Caregiver Training
Inside the ICPG: The OIG’s Guidelines for Nursing Facilities
In November 2024, the OIG released its first-ever Industry Segment-Specific Compliance Program Guidance (ICPG), starting with Skilled Nursing Facilities and Nursing Facilities. This guidance highlights key compliance risks and reinforces the importance of resident safety and quality care.