CJ Wolf
The U.S. Health and Human Services Office of Inspector General (HHS OIG) has written, “For a compliance program to be effective, the organization should establish appropriate consequences for instances of noncompliance, as well as incentives for compliance.”1
Healthicity
GI procedures, particularly colonoscopies, present unique coding challenges.
CJ Wolf
The Centers for Medicare & Medicaid Services’ Targeted Probe and Educate (TPE) program is one of the processes that Medicare administrative contractors (MACs) can use when providers are selected by medical review. CMS claims this review process is designed to help providers reduce claim denials and...
Brian Burton
The healthcare landscape is evolving rapidly, and compliance is more crucial than ever. The OIG’s November 2023 Healthcare General Compliance Program Guidance (GCPG) underscores the need for robust risk management and continuous improvement.
Brian Burton
Quick – which organization comes to mind when we say HIPAA?
Healthicity
Our latest episode of Compliance Conversations features CJ Wolf, MD, and Brian Burton, our Chief Compliance and Privacy Officer, sharing their key takeaways from two of the most prominent industry conferences: HCCA's Compliance Institute and AAPC's HEALTHCON.
CJ Wolf
The OIG added several new items to its work plan in April 2024, let’s review three key updates.
Healthicity
Compliance Carl is used to navigating complex situations at work, but he figured that selecting his next book club read would be a little easier. He doesn’t have much time for fun fiction, given that the new OIG General Compliance Program Guidance is still waiting to be read.
