CJ Wolf
On July 13, 2017, the Department of Justice (DOJ) announced the largest healthcare fraud takedown in history.
Stephani Scott
Auditors, unite! Below you’ll find a roundup of education and certification resources for auditors. In every industry, education and networking are key to career growth and personal development. So, join an organization, attend a conference, or sign up for a course.
CJ Wolf
Recently, I talked with Christopher Chandler, a senior consultant at a large medical group in the professional coding and reimbursements department. Christopher explained a whole slew of surgical coding misunderstandings like confusion about how ICD coding works with CPT coding and what to do with...
Healthicity
1. Most Hated Man in Healthcare’ Trial Underway: “Martin Shkreli, the ‘most hated man in healthcare,’and former pharmaceutical executive who gained notoriety for hiking up the price of a life-saving drug, will finally go on trial Monday on charges of ripping off investors.”
Stephani Scott
Every auditor faces different challenges. Some of us get stuck on MIPS, while others struggle with HCC. The one area that seems to really stump all of us across the board is Medical Decision Making.
CJ Wolf
1. 3 Ways To Measure The Effectiveness Of Your Compliance Program: It’s important to have an effective compliance program but sometimes it can be pretty difficult to measure the success.
CJ Wolf
Gone are the days when compliance was viewed as less important than other departments in healthcare. Compliance is vital and with its importance comes great responsibility.
Compliance officers must adapt to the ever-changing rules and regulations.
Healthicity
1. Los Angeles Hospital Agrees to Pay $42 Million to Settle Alleged False Claims Act Violations Arising from Improper Payments to Physicians -
