Radiology services can be accompanied by some unique compliance challenges that do not always exist with other types of health care services. The following tips can help...

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...

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...

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...

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

Effective communication is a cornerstone of successful interactions with people, no matter whether your relationship with them is personal or professional. As it relates to...

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...