
Overview of a Corporate Integrity Agreement (CIA)
Health care fraud recoveries for fiscal years 2009- 2014 exceeded…

Are You Prepared for the HIPAA Phase 2 Audits?
After reviewing the HIPAA Privacy case investigations from 2009-2011,…

Billing Care Plan Oversight Risks
Care Plan Oversight describes the physician or other healthcare…

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…

Do Any of Your Medicare Patients Meet the Newly Approved Lung Cancer Screening Requirements With Low Dose Computed Tomography (LDCT)?
Lung cancer is the leading cause of cancer deaths in the United…

Are You Familiar With the New CMS Payment Model?
The new CMS payment model ties reimbursement to value instead…

Are You Aware of the New OSHA Reporting Requirements?
All employers under Federal OSHA jurisdiction are required to…

$22 M of Potential Fraud, Waste and Abuse Discovered in 2012 Medicare Ophthalmology Claims
In 2012, approximately 49 million Medicare claims were related…