CJ Wolf
An organization that fails to create and maintain an effective compliance program could be forced to return overpayments. And providers may face severe civil, criminal, and financial penalties.
Elizabeth Wright
Sometimes, when I mention coding and documenting Transitional Care Management, coders and auditors will get a crazy look in their eye that can best be described as, “subtle fear.”
But don’t panic, it’s easier than you think!
CJ Wolf
The Centers for Medicare and Medicaid Services (CMS) issued the Reform of Requirements or Long-Term Care Facilities in 2016 with a three-part phased implementation.
CJ Wolf
The DOJ just announced its biggest healthcare enforcement action in history. Compliance personnel will definitely want to know the details since over 100 physicians, nurses or other clinicians were individually indicted.
Stephani Scott
Every auditor faces different challenges. Some of us get stuck on MIPS, while others struggle with HCC. The one area that seems to really stump all of us across the board is Medical Decision Making.
Lara Smith
About five years ago I had an experience that changed my perspective and really opened my eyes to a better way to effectively share post-audit results.
Dr. Smith and I had met a number of times because we were in the same organization.
CJ Wolf
Compliance and coding are complicated.
Stephani Scott
It can be a total nightmare to figure out the definition of a “detailed” examination using 1995 Documentation Guidelines for Evaluation and Management Services. It doesn’t help that CMS has been reluctant to expand the definition. It’s frustrating, isn’t it?
