The HHS OIG has added to their work plan an analysis of Medicare Advantage Enrollment. According to OIG, the Medicare Advantage program is vulnerable to schemes designed to increase Medicare Advantage organization (MAO) profits by improperly influencing enrollment. They explained that known...
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Deeper Than the Headlines: When Compliance Fails: Kickbacks, Gift Cards, and a Costly Conviction
In this episode of Deeper Than the Headlines, CJ Wolf, MD, takes a closer look at a cautionary case that hits uncomfortably close to home for compliance professionals.
E/M Medical Decision Making: How to Apply the “Two of Three” Rule
See How Audit Manager+ Streamlines Five Key Audit Types
AI and Compliance: Future-Proofing Your Program
AI is no longer optional in healthcare—it’s everywhere, from documentation tools to patient-facing chatbots. But as innovation accelerates, so does regulatory scrutiny. Artificial intelligence is no longer a future concept; it’s here, embedded in healthcare systems, vendor platforms, and even your...
5 Ways to Turn Audits Into a Revenue Protection Strategy
Cybersecurity Awareness Month: Four Easy Steps to Safer Data & Stronger HIPAA Compliance
Cybersecurity might sound like a job for your IT department, but the truth is that protecting sensitive data starts with every person in your organization. October is Cybersecurity Awareness Month, making it the perfect time to brush up on the habits that keep both you and your patients safe.