It's that time of year again – compliance programs are putting the finishing touches on their annual audit plan for the year ahead. Wrangling those fresh and familiar compliance risks is like a puzzle – you've got to be organized and clever to piece together a winning plan.
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Healthcare Compliance in the Spotlight - Hierarchical Condition Categories and Risk Adjustment
The Inspector General of HHS has warned the healthcare compliance community that reimbursement methodologies associated with Medicare Advantage would be a top priority. Included in these efforts is an enhanced focus on Hierarchical Condition Categories (HCC) and risk adjustment.
How to Manage AI Risks and Challenges in Your Organization
How to Conduct a HIPAA Risk Analysis for Your Organization
Exploring Compliance Dynamics in Academic Medical Centers
What Compliance Professionals Need to Know About DOJ Enforcement Actions Against Physicians
As compliance professionals, staying on top of recent enforcement actions by the U.S. Department of Justice (DOJ) can be a challenge – but we’re here to help. Understanding recent enforcement actions is a crucial way to guide compliance programs, risk assessments, education efforts, and auditing...
What Compliance Teams Need to Know About the OIG’s Focus on Nursing Homes
The U.S. Health and Human Services Office of Inspector General (OIG) recently signaled an even stronger focus on nursing homes. The OIG plans to more closely scrutinize nursing home compliance in their work plans, audits, and oversight.