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Blog Archive

Tag: Payer

Medical Necessity: A Guide for Healthcare Compliance Leaders 

Ensuring medical necessity for services or supplies isn’t just about getting paid. It’s a safeguard against unnecessary or duplicative services that increase the risk of patient...

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April 8, 2026

Know the Compliance Risk for Certain Anesthesia Services 

A good healthcare compliance program is all about reducing risk, both in patient care and in financial reimbursement. This detailed blog by compliance expert, CJ Wolf, will bring...

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August 27, 2025

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....

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July 31, 2024

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....

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July 31, 2024

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...

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April 9, 2024

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...

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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...

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August 2, 2023

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...

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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...

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January 18, 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...

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January 18, 2023
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