Resource Center
Discover a wealth of best practices and real-world examples on how you can simplify your auditing, compliance, coding and training challenges.
Understanding Physician Financial Relationships
Top off your knowledge of Stark Law & AKS comparison, risks & physician lease agreements and non-monetary compensation vs. incidental benefits.
Common Activities that Lead to Whistleblowing
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.
Taking the Anxiety Out of Behavioral Health Auditing
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.
Provider Assessment Plan: Quick and Easy Tips for Auditors
Get the full scoop on how to have a effective conversations with providers that get results, all in this eBrief.
To Self-Disclose, or Not Self-Disclose
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.
The Essential Elements of Incident-To
You’ll get incident-to requirements, examples of what not to do, and tips on How to Audit Incident-To all in this eBrief.
The Teaching Physician Rule: A Blessing or a Curse
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.
Unlocking the Fraudulent Mind
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.
How to Define Your E/M Pass Rate Thresholds
Learn more about pass rate thresholds and how results are reviewed and how industry leaders define their pass rate thresholds. CEU purchase available.
How Their Mistakes Could Improve Your Security Program
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.
What Auditors Should Always Remember
Learn about advice on how to approach auditing with a different perspective that will make you more effective in your day-to-day.
Tackling Compliance on the Front Lines
Learn more about how to focus your compliance efforts on the front lines where it really matters.
E/M Services and CMS's 2019 Proposed Changes
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.
Your Guide to the National Correct Coding Initiative
Learn about edit categories, edits for mutually exclusive procedures and sequential procedures, and myriad ways that edits maintain accurate billing and coding practices.
Smart Strategies to Tackle Your Organization's Risk
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.
Facility Auditing Doesn't Have to Be So Hard
See how the new Audit Manager Facility can take your work as an auditor to another level and improve efficiency rates by 40%.
How to Properly Discipline Acts of Non-Compliance
Learn how to incorporate disciplinary action into your compliance program, use discipline to change employee behavior, and roll compliance into performance evaluations.
The Secrets to Affordable HIPAA Compliance
How you can prevent HIPAA fines with software tools and case studies of organizations who could have prevented huge fines with a proper risk analysis.
7 Habits of a Highly Effective Compliance Officer
Learn all 7 habits and how they will make you a much better compliance officer.
Compliance Metrics for Your Program’s Success
Learn how to understand the difference between measures, metrics, and KPIs, build successful metrics and incorporate metrics into a dashboard
Avoid the Compliance Dangers of Medical Marijuana
Learn the dangers of physicians, or a practice, getting involved in prescribing medical marijuana and how you and your organization can recommend it and remain compliant.
How to Better Communicate with Your Docs
Get tips from expert auditors on how to discuss the assessment and plan with your providers and get thorough documentation on images and medication.
What Not to do When CMS Audits You
Learn how to prepare for a CMS audit before it happens, stay calm during a CMS audit, and effectively explain yourself to CMS.