CJ Wolf
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Opinions aren’t always the most effective way to make a case. I’ve found that it’s always easier to find an existing citation or reference instead of using your opinion. Opinions simply sound too subjective and there are too many gray areas in compliance for subjectivity.
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Transcript
Hi, I’m CJ Wolf, I’m Healthicity’s Senior Compliance Executive, and we’re talking about seven tips that every Compliance Officer should know. Tip number seven is rather than rely on opinion, rely on citation and references. What I mean by that is, it’s one thing to give your opinion, and there are sometimes gray areas where that’s all you can give, but rather than constantly giving your opinion saying, “I think that’s a problem, I think that’s an issue.” It’s often helpful to be able to state a reference or citation to say, “You know what, Medicare manual XYZ chapter and verse says they will or they won’t reimburse for that service under these conditions,” and it’s a little bit more, in my experience, it’s taken as a real professional way to provide compliance guidance rather than saying “Oh you know what, I don’t like that billing idea, Medicare’s not going to like it.” That’s very subjective, and I think it’s much better as a compliance officer to rely on citations and references as much as possible, knowing that there will be times that you do just have to give an opinion just based on your experience.
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