In a football game, the Fourth Quarter can be the defining moment for either the team defending its lead, or the team trying to come back and reverse its fortune. The team that...

When conducting their periodic risk assessments, most compliance professionals use the OIG’s Work Plan or recent DOJ enforcement actions to help determine how best to deploy time...

Whether you’re resolving a complex billing issue, or advising your leadership team about a business proposal, the ability to effectively make decisions is a valuable asset for any...

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...

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

In the complex world of healthcare, compliance with federal, state and international regulations is not just a moral and ethical responsibility—it’s a financial one.  The cost of...

I recently attended the 2024 Health Care Compliance Association (HCCA) Managed Care Conference, and it was great to attend sessions and network with professionals and exhibitors...

I always find it energizing to look back at the past year, and shift focus to what sits at the top of the risk list for the upcoming year. Here are some best practices and tips...

I’ve had the privilege of leading and being part of compliance teams at non-profit providers, for profit payors, start-ups, and regulators. Regardless of the business model,...