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. Integrating this strategy into your compliance culture can help your organization avoid penalties and deliver compliant patient care.

US Department of Health and Human Services 52

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

YouCompli

NOVEMBER 1, 2023

As compliance officers, we are continually placed in a position to influence the actions of others and help shape our organization’s compliance culture. One way to change that perception is to avoid creating “gotcha” moments when you’re working on a compliance-related matter.

Compliance 52

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

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 is watching these adjustments to make sure they are appropriate for federally reimbursed services.

Compliance 52

Compliance US Department of Health and Human Services Overpayments Overpayment 52

YouCompli

OCTOBER 26, 2022

That’s why we work so hard to simplify and streamline regulatory change management: we have to take the busy work out of compliance so that our clinical colleagues can apply their subject matter expertise to compliance, rather than getting overwhelmed with process. That’s a 41% error rate with an extrapolated overpayment of?$269

Compliance 52

Compliance Compliance Officers Overpayments Overpayment 52

Compliancy Group

FEBRUARY 7, 2024

This is because the Centers for Medicare & Medicaid Services (CMS) have ramped up their efforts to identify organizations that have improperly billed for medical services. The Centers for Medicare and Medicaid Services (CMS) created UPIC audits to identify and stop fraud and abuse in Medicare and Medicaid.

Fraud 52

Fraud Compliance Medicare Medicare 52

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? We further identified overpayments and developed a plan to refund.

Compliance 52

Compliance Compliance Officers Overpayments Overpayment 52

Health Law RX

JANUARY 30, 2024

The DOJ Announcement stresses the importance of investing in strong compliance programs for both the buyers and sellers in business transactions. Ensure Ongoing Compliance.

Compliance 52

Compliance Due Diligence Fraud Governance 52

AIHC

APRIL 5, 2022

If the payer, such as Medicare, performs an extrapolation, reducing each overpayment dollar through appeal can mean thousands less to pay back. Place of Service (POS) can be a “trigger” for an investigation. at: [link] Is the date of service (DOS) correct? Audit the POS to ensure this was coded correctly on the claim.

Fraud 52

Fraud Compliance Medicare Medicare 52