YouCompli

FEBRUARY 22, 2023

Compliance officers can help protect revenue and reduce the risk of penalties by collaborating with the Finance and Reimbursement departments to navigate the dynamics of outlier payments and prospective repayment. The government alleged these increased charges resulted in the greater number of outlier payments.

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Compliance US Department of Health and Human Services Overpayments Overpayment 52

YouCompli

NOVEMBER 1, 2023

Unfortunately, with a title like “compliance officer,” we have some image issues to overcome if we want our healthcare leaders to see us more like a business partner and less like an obstacle. Let’s imagine someone is conducting an audit involving the review of medical-necessity documentation for physical therapy services.

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Compliance US Department of Health and Human Services Compliance Officers Overpayments 52

YouCompli

SEPTEMBER 13, 2023

Enforcement agencies are prioritizing efforts to deter FWA as more individuals enroll in government healthcare programs like Medicare and Medicaid, and telehealth services continue to evolve post-pandemic. For example, they can describe how to read a billing statement and identify services or supplies that were not provided.

US Department of Health and Human Services 52

US Department of Health and Human Services Compliance Officers Compliance Fraud 52