Healthicity Blog

Let’s say you’re a Medicare Advantage organization and one day you receive a notification from CMS that you’ve been selected for a program audit. What should you do?

CMS won’t be enforcing the Affordable Care Act’s Skilled Nursing Facilities compliance requirement until November of 2019.

As compliance professionals, we tend to focus on large dollar settlements to raise awareness within our organization. These type of events can definitely make some executives pay attention.

Ever wonder how the OIG investigates fraud? What do they look for? What challenges to they face?

The framework represents a complete view of an organization’s compliance risk environment; it’s the way an organization structures relevant risks.

You’ve worked too hard to ruin everything by cutting corners. While it might not sound like much, conducting a risk assessment is essential for an effective compliance program, and in some cases, it’s required by law.

Just as we humans rely on our heart to keep ticking, any compliance program worth its salt relies on an effective audit plan to maintain organizational compliance.

Over 1,000 coding, auditing, compliance and healthcare executives contributed to our 2018 Compliance and Auditing Benchmark report.