YouCompli

MARCH 15, 2023

Project Management Methodologies for Healthcare Compliance Sharon Parsley, JD, MBA, CHC, CHRC contributes a regular post on compliance officer effectiveness for the YouCompli blog. In this article she discusses the life cycle of a project and offers ideas for successful project management. And so are you.

Compliance 40

Compliance Compliance Officers Medicare Medicare 40

YouCompli

MAY 17, 2023

Sharon Parsley, JD, MBA, CHC, CHRC contributes a regular post on compliance officer effectiveness for the YouCompli blog. What does it really take to ensure that an organization has a mature, well-integrated, and high-performing Compliance function? Build relationships across risk assurance functions. Let me give you an example.

Compliance 52

Compliance Compliance Officers Overpayments Overpayment 52

YouCompli

AUGUST 22, 2023

She said, “The expansion of managed care, especially over the last decade, has come with growing pains that have strained program integrity and highlighted compliance weaknesses. OIG’s audits, evaluations, and investigations have demonstrated that risks of fraud, waste, and abuse in managed care are real and significant.”

Medicare 52

Medicare Medicare US Department of Health and Human Services Compliance 52

Provider Trust

MAY 17, 2022

Vendors, suppliers, and third-party contractors (often collectively referred to as “vendors”) are an integral part of the healthcare ecosystem. So what does that mean for your healthcare organization’s compliance program? What is considered a healthcare vendor? What is considered a healthcare vendor?

Compliance 52

Compliance Medicare Medicare Due Diligence 52

Provider Trust

JULY 25, 2022

The Special Advisory Bulletin states that “no Federal healthcare program payment may be made for any items or services furnished (1) by an excluded person or (2) at the medical direction or on the prescription of an excluded person.” So what can your organization do to avoid liability and more effectively monitor your providers?

Electronic Medical Records 52

Electronic Medical Records Licensing Medicare Medicare 52

Healthcare Law Blog

JANUARY 10, 2023

Morgan Healthcare Conference by Sanjay Doddamani (CEO of UpStream Healthcare) saying that “ Health is a state of independence.” Our healthcare system is a strange and somewhat uncomfortable mix of dependence and independence (some would call the latter fragmentation, rather than independence).

Medicare 59

Medicare Medicare Doctors Medicaid 59

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Key provisions of the Proposed Rule are summarized below. Comments are due by March 7, 2022.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98