Resource Center

Understand how a physician thinks about the words, phrases, and concepts in the 1995 and 1997 E/M documentation guidelines.

Learn where to find important inpatient change notifications, possible implications of changes each year, why it’s important to audit, and why using good software is helpful.

We tell you why compliance programs should diligently perform exclusion checks against sanctioned individuals by the way of case study examples.

Avoid coding and documentation errors with examples of appropriate use versus problematic use from our expert auditor, Lori Cox.

Learn which personality types are drawn to compliance, how to set expectations as a new compliance professional, and why it's okay not to know everything right out of the gate.

Get compliant by reviewing PATH audits with us, understand how to provide training and tools along with statements and documentation processes.

Learn how the real-world application of E/M Consultative Services can benefit your organization and we'll cover clinical vs. billing consultative services. CEU purchase available.

Learn why any well-rounded compliance officer who is worth their weight in gold should read voraciously, understand statistics and know auditing best practices.

Use this cheatsheet to achieve the highest level of specificity when auditing for Pressure Ulcers.

Top off your knowledge of Stark Law & AKS comparison, risks & physician lease agreements and non-monetary compensation vs. incidental benefits.

Learn how to see the signs that lead to whistleblowing, prevent whistleblowing as a result of retaliation, and create a compliance program that responds to concerns.

Learn how to understand what to look for in the diagnostic interview code, use add on code for “interactive complexity,” and report crisis psychotherapy. CEU purchase available.

Get the full scoop on how to have a effective conversations with providers that get results, all in this eBrief.

We debate the pros and cons of self-disclosure on three common issues, including HIPAA breach, Anti-Kickback or Stark issue, and coding or billing error repayment or refund.

You’ll get incident-to requirements, examples of what not to do, and tips on How to Audit Incident-To all in this eBrief.

Learn the new specifics of student documentation for E/M Services and HPI, dangers of improper documentation, and the teaching physician’s responsibility to verify and attest.

By learning the human desires, intentions, and actions that result in fraud, you can develop a better compliance program designed to prevent, detect, and correct non-compliance.

Learn more about pass rate thresholds and how results are reviewed and how industry leaders define their pass rate thresholds. CEU purchase available.

Learn security risk requirements, ins-and-outs of recent cases and audits, reason MD Anderson was fined millions, and the many ways a risk assessment tool can protect you.

Learn about advice on how to approach auditing with a different perspective that will make you more effective in your day-to-day.

Learn more about how to focus your compliance efforts on the front lines where it really matters.

Learn the pertinent CMS Rules, how you can prepare for the proposed changes and a breakdown of why we believe certain changes will/will not take place.

Learn about edit categories, edits for mutually exclusive procedures and sequential procedures, and myriad ways that edits maintain accurate billing and coding practices.

Cover how every department must work together to reduce risks, risk analysis is dependent on gap analysis and management plans, and how to mitigate risk analysis information from the OCR.