Today’s episode of Compliance Conversations features a conversation between CJ Wolf, MD, and his longtime colleague and medical compliance expert, Jay McVean. Jay has over two decades of experience in medical billing and coding, and he currently serves as the Director of Medical School Billing...
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Answers to Your Questions on 2023 Healthcare Coding Changes


Our 2023 Healthcare Coding Changes webinar raised a lot of questions, so we’re tackling your insightful inquiries! Our presenter, CJ Wolf, MD, reviewed and answered questions that popped up during the webinar, so check out all his answers below. You can also see a recording of the webinar too.
OIG Work Plan Updates for November 2022

Our In-Depth Look at Healthcare Auditing in 2022

Healthcare auditing professionals – wouldn’t it be great to have a roundup of 2022 data from your fellow auditors?
We thought so too, which is why we surveyed hundreds of healthcare auditing professionals across the country to create a comprehensive look at common pitfalls, strategies to enhancing...
E/M and Time-Based Services Coding Made Easy


All time-based codes are not created equal, meaning providers and coders are often confused about the correct number of billing units to report.
When can time be rounded up to the next time increment and when does it need to be exact? When is code selection based on face-to-face time versus total...
OIG Findings on Overpayments at Critical Access Hospitals


The U.S. Health and Human Services Office of Inspector General (OIG) recently issued a report concluding that Medicare and patients combined overpaid more than a million dollars for the same professional services provided at critical access hospitals (CAH).
Who Bills for Professional Services?
2022 Survey Data from Healthcare Auditing and Compliance Professionals
Taking a Moment to be Thankful


It’s that wonderful time of year to pause and express thanks for all the good things in our lives. Let’s do the same thing in our professional lives, including finding ways to be thankful for our compliance programs.
As compliance professionals, we sometimes focus on what is going wrong. It’s only...