The OIG’s annual Work Plan is an important asset for optimizing your organization’s compliance and auditing efforts because it allows you to identify possible compliance risks. In reviewing the 2016 OIG Work Plan, there are a total of 25 projects for audit under the OIG audit umbrella: three new...
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2016 OIG Work Plan (Part 1): Revisions
The OIG published its Work Plan for 2016 on November 2, 2015. The annually published plan details the OIG’s audit enforcement priorities for 2016. The Plan is useful for healthcare providers as it allows you to identify potential compliance risks and fine-tune your current compliance and auditing...
HIPAA Risk Assessment: 5 Essentials
Risk analysis is the cornerstone of HIPAA compliance because it allows providers to safeguard against vulnerabilities to prevent data breaches or other serious security events. Performing risk analysis provides better security for patient health data.
A Checklist for Auditing Your Audit
In order to thoroughly scrutinize an audit, it’s important to understand who requested the audit, why they requested it, and what will be audited in the first place.
The Five Problem Areas In E/M Audits - Webinar
Every healthcare organization is faced with the challenge of improving their auditing efforts to meet compliance requirements. Arming yourself with the right information can vastly improve the way your organization approaches Evaluation & Management Audits (E/M) audits.
How To Avoid This $72 Million Compliance Mistake
Tuomey, a community-based hospital in South Carolina, and the US government, recently resolved a False Claims Act judgement that resulted in a whopping $72 million dollar settlement.
It all started in 2005 when a physician at Tuomey decided to blow the whistle.
Uncovering 5 Common Gray Areas of E/M Coding
There can be a lot of ambiguity in E/M coding. Let’s get to the bottom of common problem areas in exam, history, using time to bill, and medical decision-making (MDM), to address misconceptions and answer some important questions related to some of these abstruse topics.