AI-powered communication is changing the way healthcare organizations interact with patients. But as the industry embraces automation and efficiency, compliance remains a top concern.
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Decode the Latest G2211 Changes & Maximize Your Reimbursement
Remember the 1985 Chevy Chase & Dan Aykroyd comedy “Spies Like Us?” One of the senior leaders in our practice once joked that “G2211” sounded like CIA operative lingo straight from the movie. Every time the topic comes up, I humor myself with imaging what silly scenarios G2211 could mean if it had...
The 60-Day Rule: What Healthcare Professionals Need to Know
The 60-day rule under the Affordable Care Act is one of the most important compliance regulations for healthcare providers accepting Medicare or Medicaid payments. It requires organizations to identify, report, and return any overpayments within 60 days of discovery. Failure to comply can lead to...
February 2025 OIG Work Plan Updates: What’s Changing?
$29M Overpayment Case: A Costly Lesson in Compliance
Healthcare Compliance Challenges: Legal Perspectives & Actionable Solutions
In the latest episode of Compliance Conversations, host CJ Wolf and returning guest Sean McKenna,a Partner at Nelson Mullins and former Federal Prosecutor, delve deep into the challenges and opportunities facing compliance professionals today. Sean, who has dedicated over two decades to healthcare...
New HCPCS Codes for Caregiver Training
Inside the ICPG: The OIG’s Guidelines for Nursing Facilities
In November 2024, the OIG released its first-ever Industry Segment-Specific Compliance Program Guidance (ICPG), starting with Skilled Nursing Facilities and Nursing Facilities. This guidance highlights key compliance risks and reinforces the importance of resident safety and quality care.