Healthcare Compliance Solutions and News

Overview of a Corporate Integrity Agreement (CIA)

Health care fraud recoveries for fiscal years 2009- 2014 exceeded…
Performance Improvement Plan

Are You Prepared for the HIPAA Phase 2 Audits?

After reviewing the HIPAA Privacy case investigations from 2009-2011,…
Healthcare Compliance -Claims and Procedures

Billing Care Plan Oversight Risks

Care Plan Oversight describes the physician or other healthcare…
Healthcare Compliance - Medicare

Complying with Stark Law: Can you bill Medicare when treating your family members?

The treatment of family members falls under General Exclusions…

How would your staff react to an auditor or investigator?

Audits and investigations are stressful events either with or…

Avoiding Overutilization vs. Patient Satisfaction: What’s a provider to do?

An increasingly important issue for many providers is the dilemma…
Healthcare Compliance - Medicare
Payment

Are You Familiar With the New CMS Payment Model?

The new CMS payment model ties reimbursement to value instead…
Healthcare Compliance - Incidicent Medicare

Are You Aware of the New OSHA Reporting Requirements?

All employers under Federal OSHA jurisdiction are required to…
Healthcare Compliance -Claims and Procedures

$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims

In 2012, approximately 49 million Medicare claims were related…