CJ Wolf
It’s that time of year again! Compliance programs are performing annual risk assessments and creating annual audit work plans in preparation for 2018.
CJ Wolf
For many years now the OIG has been performing Medicare Compliance reviews of hospitals.
CJ Wolf
You’ve heard of the Federal False Claims Act. But did you know that many states also have state false claims acts or equivalents?
The OIG, in cooperation with the Attorney General, determines whether States have false claims acts that qualify for an incentive under section 1909 of the Social...
CJ Wolf
The number of settlements with the government for issues of non-compliance are on the rise. And experts estimate that most physician practices are making mistakes.
CJ Wolf
For those of you unfamiliar with coding and billing, modifier -59 is a two-digit numeric code modifier that can be appended to a CPT or HCPCS procedure code, for example, and will frequently bypass many payor edits.
CJ Wolf
1. Influencer not Enforcer: How to Avoid the Dreaded Corporate Cop Image
When it comes to compliance, sometimes image is everything. How you’re perceived in your organization can either work for you or against you.
CJ Wolf
We all could use some advice every now and then, especially in the world of healthcare compliance.
CJ Wolf
Though many CIAs read very similarly, it’s good practice to read new ones to reaffirm some of the core principles of an effective compliance program.
