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November 2023 OIG Work Plan Updates

The OIG’s Work Plan got a lengthy update in November including infection prevention, CMS Payroll-Based Journal system, and new audits of Medicare Part C.

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A Thanksgiving Tribute to Compliance Professionals

Take a moment to reflect on the integral part compliance professionals play in ensuring the success and integrity of your organization.

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October 2023 OIG Work Plan Updates

Discover the OIG's latest initiatives, as they delve into crucial areas such as children's mental health, COVID-19 impact mitigation, and child care compliance.

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Trick or Treat...Compliance Style

We cover tricks like how to use the magic of technology to make your job easier, assemble a hauntingly good compliance committee, and so much more!

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Medicare Advantage Compliance Under the Spotlight

Uncover the details behind Cigna's recent $172 million settlement as we delve into the compliance considerations for Medicare Advantage organizations.

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September 2023 OIG Work Plan Updates

Get up to date with the latest OIG Work Plan updates for September 2023 with highlights including audits on diagnosis coding and DMEPOS.

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Understanding the OIG's Toolkits on Patient Harm

Find out what the OIG uncovered in their recent report and how healthcare providers can identify and prevent patient harm.

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The High Stakes of Facility Claims: Why Auditing Matters

Find out how facility audits are the frontline defenders of revenue and compliance integrity for healthcare organizations.

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August 2023 OIG Work Plan Updates

OIG Work Plan updates for Aug 2023 include buprenorphine treatment for OUD, Transitional Living Program for homeless youths, & COVID-19 funding initiatives.

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Compliance Landscape for Advanced Practice Practitioners

Physician assistants and nurse practitioners aren’t immune to the scrutiny or consequences faced by physicians – and these recent examples showcase why.

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Your One-Stop Training Shop in Audit Manager

Check out our library that’s full of great training resources from us and some of our partners. It's also easy to track and assign training to your team.

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July 2023 OIG Work Plan Updates

The OIG did NOT take a summer break – in fact, they added more Work Plan items in July 2023 than previous months. Take a look at what’s new.

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Physician Payments with the Open Payments Database

Money talks? Learn about how to use the CMS Open Payments Database to uncover payments made to physicians by pharmaceutical and medical device companies.

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June 2023 OIG Work Plan Updates

June's OIG updates include biospecimen research, National Institute of Health contract close-out procedures, high-risk diagnosis codes, and hospice services.

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Upcoding: Strategies to Address Medical Billing Concerns

Download this eBrief to discover effective strategies to address upcoding head-on and ensure accurate coding practices in healthcare.

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Managing Compliance Policies and Procedures

Do the words “policy management” give you heartburn? That’s why we created our latest eBrief with key expert insights into policy and procedure management.

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OIG’s New Framework for Nursing Home Compliance

The OIG’s new PRO framework is designed to enhance compliance practices in nursing homes – but what does it mean for your organization?

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May 2023 OIG Work Plan Updates

May 2023 OIG Work Plan updates include opioid use in Medicare Part D, patient harm events, and facility-initiated discharges for nursing home patients.

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2023 HEALTHCON Highlights

We’re still feeling the Nashville spirit after attending AAPC’s 2023 HEALTHCON event! We put together a recap of the greatest hits from the event.

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Answers to Your Modifier 25 Webinar Questions

We tackle questions on modifier 25 from everything to reporting multiple codes, new patient visits, and clarification between several modifiers.

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Compliance Pitfalls of Psychotherapy in Nursing Homes

Upcoding, documentation, and medical necessity. These are all key compliance aspects of treating nursing home residents with psychiatric conditions.

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April 2023 OIG Work Plan Updates

April 2023 OIG Work Plan Updates include the audit of COVID-19 funds, remote patient monitoring services, & the OIG's toolkit on identifying patient harm.

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Why Mental Health Licensure & Supervision are Critical

Get a look at one of the largest publicly disclosed government healthcare fraud settlements ever – and the role that mental health played in the situation.

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Incentivizing Compliance – Smart Move or Steer Clear?

If the word “incentive” makes your compliance radar go off, you’re not alone. But it isn’t a bad thing, and it can boost your program’s effectiveness.

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