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Non-compliance eBrief: Are You Prepared For An OIG Audit?

Posted by CJ Wolf, Aug 12, 2021 9:53:48 AM

In many ways, compliance officers are the eyes in the sky of healthcare organizations.

When Should Overpayment Findings be Extrapolated?

Posted by CJ Wolf, Nov 4, 2020 10:00:00 PM

Any effective compliance program should be able to identify overpayments

Are You Accurately Billing Telehealth Services?

Posted by Lori A. Cox, May 5, 2020 11:15:58 AM

Not long ago, I presented to you some foolproof tips for billing telehealth services.

Compliance News Roundup: $150 Million in Fraud Schemes Uncovered in Southern California

Posted by Healthicity, Nov 20, 2019 10:01:58 AM

1. $178,000 Fine for Billing of “P-Stim” Devices -

Deeper Than the Headlines: Overpayments Identified by the OIG for Chronic Care Management Services

Posted by CJ Wolf, Nov 18, 2019 11:14:48 AM

On January 1, 2015 CMS established a policy for Medicare for chronic care management (CCM) services to be paid under the Medicare Physician Fee Schedule.

Deeper Than the Headlines: Can I Pick Your Brain? Audit Results of Psychotherapists.

Posted by CJ Wolf, Sep 9, 2019 10:31:33 AM

From July 1, 2015, through June 30, 2017, Medicare paid about $1.9 billion for psychotherapy services nationwide.

Deeper Than the Headlines: Reverse False Claims Act Webinar Q&A

Posted by CJ Wolf, Jun 24, 2019 12:16:08 PM

This week’s "Deeper Than the Headlines" post is in response to my Reverse False Claims Act webinar that I presented last Wednesday, June 19th.

Deeper Than the Headlines: Home Care Compliance on the OIG’s Radar

Posted by CJ Wolf, Jun 3, 2019 11:24:00 AM

In May 2019, the OIG released audits they’d performed on Home Care agencies. In the end, they reached the conclusion that numerous services were out of compliance.