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The Compliance Blind Spots Undermining Physician Group Practices


Physician group practices face mounting regulatory responsibilities, but many continue to overlook compliance blind spots that can carry major financial and reputational consequences.
Considerations for Billing “Incident-To" Correctly


For many healthcare practices, “incident-to” billing is a common strategy used to increase Medicare reimbursements. It sounds like a smart revenue move. But without a clear understanding of the rules, it can also be a compliance landmine.
Learn How to Track Compliance Incidents More Effectively

Modern Tools to Enhance 60-Day Rule Compliance

How to Supercharge Your Audits with Audit Manager+


Audit smarter and faster with Audit Manager+, our advanced web-based audit management solution.
The 60-Day Rule: What Healthcare Professionals Need to Know


The 60-day rule under the Affordable Care Act is one of the most important compliance regulations for healthcare providers accepting Medicare or Medicaid payments. It requires organizations to identify, report, and return any overpayments within 60 days of discovery. Failure to comply can lead to...
Inside the ICPG: The OIG’s Guidelines for Nursing Facilities


In November 2024, the OIG released its first-ever Industry Segment-Specific Compliance Program Guidance (ICPG), starting with Skilled Nursing Facilities and Nursing Facilities. This guidance highlights key compliance risks and reinforces the importance of resident safety and quality care.