Resource Center

Get our extensively researched 10 keys of an effective compliance program where we go beyond what the OIG has published.

Use this cheatsheet to clarify and save you time on tedious research for Modifier 26.

Learn how compliance has evolved through the decades and see where it’s going so you can prepare your organization for what’s to come.

Learn impactful subjects like coding and auditing staffing trends, common coding and auditing challenges and practical solutions for an effective audit plan.

Get the inside scoop on all of the new features of the dashboard where we’ll introduce the new interface and demonstrate how it will help you.

Compliance departments seem to be coming out from under the shadow of other departments and making their presence felt across healthcare organizations.

Understand how to use analytics and data to identify fraudulent behaviors, follow a risk-based approach and learn from recent enforcements and fraud busts.

We'll guide you through CPT Hydration codes, Therapeutic, Prophylactic and Diagnostic Injections and Infusions, and the Chemotherapy administration codes, for clinic-based billing.

Learn how to triage reported incidents, funnel various reporting methods into one tracking system and create a reporting system designed specifically for a compliance program.

Get help navigating the MFS changes including the History of Present Illness (HPI) documentation changes, services using technology, HCPCS code G2012 and code G2010.

Tips include how to ask the right policy and procedure questions, add annual items for an effective program, and much more!

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.

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.

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