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?
CJ Wolf
I’m sure I don’t need to tell you that compliance involves a lot of moving parts these days. Tracking incidents, training, and monitoring are just a few basics of the position.
Lara Smith
I’m sure that all of you remember the looming transition to ICD-10-CM, and how it was akin to the madness of Y2K. It was crazy. But now that the frenzy has settled, it’s time to ask yourself, have you become complacent?
CJ Wolf
At the recent HCCA Compliance Institute, the OIG announced a new resource guide entitled, “Measuring Compliance Program Effectiveness.” The new resource guide contains over 400 examples of measures, categorized by the seven elements of an effective compliance program.
