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...

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....

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

The updated General Compliance Program Guidance (GCPG) from the Office of the Inspector General (OIG) is an extremely helpful reference with an easy-to-understand user’s guide. As...

Last month, the Office of Inspector General (OIG) published a new, user-friendly, 91-page General Compliance Program Guidance (GCPG). It is meant to be a helpful reference for...

It’s finally here. The long-awaited, new OIG General Compliance Program Guidance (GCPG) has been released, all 91 pages of it. If you have not viewed it yet, click here: ...

“As previous OIG compliance guidance(s) are retired to ‘archival’ status, we all should recognize that the original guidance may have been the most important document ever...

When physicians or other clinicians submit claims for professional medical services, they select a medical code to represent the services. Procedures like a skin biopsy or an...

Two of the most significant healthcare compliance risks are medical coding and billing. Enforcement agencies like to “follow the money,” so to speak, and they often find it in...