How to Avoid False Claims Related to Medical Necessity
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....
YouCompli Brings Unique Value-Creating Compliance Technology to Healthcare Payers
YouCompli, the leading provider of SaaS healthcare compliance solutions, today announced that its flagship platform is now available for use by the payer side of healthcare...
April 9, 2024
How Social Determinants of Health Influence Compliance Culture
As compliance officers, we talk a lot about the factors that directly influence a culture of compliance in our organizations. Of course, things like tone-at-the-top and engaged...
August 2, 2023
Federal and State Agencies Preview 2023 Enforcement Trends
Featured speakers: Eric Gold, Chief, Massachusetts Attorney General’s Office Healthcare Division; Jennifer Goldstein, Managing Attorney, Medicaid Fraud Division, Massachusetts...
January 18, 2023
Healthcare Compliance is Everybody’s Business: Clinical, Revenue Cycle, IT, Sales and Marketing
Build relationships with key clinical and operational areas Sharon Parsley, JD, MBA, CHC, CHRC contributes a monthly post on compliance officer effectiveness for the YouCompli...
December 14, 2022
A million-dollar healthcare compliance monitoring mistake
Don’t let processes overwhelm clinical colleagues Helping our clinical colleagues feel the urgency of compliance monitoring can be a huge challenge. They’re busy seeing patients...
October 26, 2022
Your Board Committee is only as effective as you make it
Ten ways to engage your healthcare compliance board committee Sharon Parsley, JD, MBA, CHC, CHRC, is a health law attorney, compliance officer, author, speaker, investigator, and...
July 27, 2022
Beneficiary inducement rule changes promote coordinated care
Significant updates to the Safe Harbors and Civil Monetary Penalties under the Anti-Kickback Statute related to beneficiary inducements went into effect in January 2021. The...
April 6, 2022
Six key steps to reduce the impact of telehealth audits
Telehealth is almost as old as the telephone itself. In 1879 – just three years after Bell patented the telephone – an article in Lancet described the concept and advocated its...
July 28, 2021
Differing state regulations make telehealth compliance more complex
The beauty of telehealth is that it connects patients and providers through technology that transcends boundaries. But when that connection crosses state lines, your healthcare...
July 11, 2021