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Featured Articles

	Culture in Compliance For years, we have talked about the culture in healthcare, especially for compliance purposes, but for many practices, that culture takes a backseat d - Read more...
	2022 Annual Audit Elements: What Should Be Reviewed Four months into 2022 and the question is: How far along is your audit of high, medium, and low-risk services? If you are like most practices or healt - Read more...
	Should Your 2022 Audit Plan Include Paid Claims? In 2022, when we sit down to configure an audit plan, we often consider whether we will perform an audit retrospectively or prospectively, and whether - Read more...
	Don't Sleep On Small Claims Denials Are you ever tempted to just sweep those small claims denials under the rug? Do you sometimes wonder if it is worth the time and effort to figure out - Read more...
	Auditing Infusions, Hydrations, and Injections If your facility and/or practice is providing infusion, hydration, and injection services, they should be included in your annual compliance auditing - Read more...
	Ciox: Not a Bleach, But Not to Be Ignored In my role as a compliance consultant specializing in carrier audit response, a lot of items are brought to my attention on a daily basis, with the be - Read more...
	Acute Uncomplicated vs Complicated Illness or Injury When selecting Number and Complexity of Problems Addressed, the complication of treatment required should not be considered. The Risk of Complications - Read more...
	Getting Serious About Compliance By now, most health systems, practices, and providers should know that the Office of Inspector General (OIG) has been stressing the importance of crea - Read more...
	As Pandemic Eases, OIG Ramps Up Audits With Americans having widespread access to effective vaccines, the COVID-19 pandemic is finally fading into the background for most practices, but the - Read more...
	HHS/OIG Exclusion List Violations An important subject that should not be far from your mind is the OIG exclusions list. The HHS/OIG is not backing down on Employment of Excluded Indiv - Read more...

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