In August 2025, the U.S. Attorney for the Southern District of New York announced the sentencing of Dr. Niranjan Mittal, a Brooklyn cardiologist, to 37 months in prison. Dr. Mittal pled guilty to one count of violating the Anti-Kickback Statute in connection with a scheme that included improper...
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Building Bridges Between Compliance and Revenue Cycle
In healthcare, strong compliance and revenue cycle management go hand in hand. In our latest Compliance Conversations podcast episode, host CJ Wolf welcomes Melinda Hawk, recently honored as Healthicity’s Revenue Cycle Manager of the Year.
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...
How to Build a Hospital Audit Plan
This checklist distills the top takeaways from our recent webinar on hospital audit planning, offering practical steps and expert insights to help your team build a stronger, more strategic audit program.
Staying Compliant with Modifier -25: What You Need to Know
Close Compliance Gaps with Confidence
Understanding the CMS Team Model
With the launch of the CMS TEAM Model, nearly 1,000 hospitals across the U.S. are entering a new era of accountability, care coordination, and financial risk. For the first time in recent history, CMS is mandating that selected hospitals take full responsibility for the cost, quality, and outcomes...