When it comes to communicating with healthcare leaders about a requirement or a compliance concern, I’ve found that I need to be mindful of what I like to call “knowledge blind...

Nowadays, rarely does a week go by without the Department of Justice announcing another settlement related to allegations of a lack of medical necessity resulting in false claims....

As a former compliance professional, I have experienced how different compliance can be viewed, utilized, or integrated into various healthcare organizations. I have seen...

Revenue Cycle Management (RCM) is the financial process utilized by healthcare providers to manage the administrative and clinical functions associated with claims processing,...

According to the November 2023 General Compliance Program Guidance from the OIG, compliance oversight is within a Board of Directors’ (BOD) fiduciary duty of care and a “critical...

(EDITOR’S NOTE: Jenny O’Brien is one of YouCompli’s Titans of Compliance. As part of her “Next Jen” series, she contributes posts that help the next generation of compliance...

In a healthcare compliance setting, hearing difficult or negative feedback can be a regular occurrence. To handle tough feedback well, you need to have the ability to focus on the...

Staying compliant with healthcare regulations is crucial for legal and operational integrity. With new and updated regulations emerging every day, compliance professionals must...

Recently, we posted about compliance risks associated with improper Evaluation and Management (E/M) Coding.

Shawn DeGroot, Jenny O’Brien, and Roy Snell lead YouCompli campaign to educate and develop healthcare compliance professionals PITTSBURGH –– APRIL 15, 2024 –– It’s not a...