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Blog Archive

Tag: Rules-and-regulations

Recent Telehealth Enforcement and How to Prepare   

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. An audit by the U.S. Health and...

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August 29, 2023

Significant Upcoding Risks Emerge with Medicare Advantage

Approximately 65 million Americans are enrolled in Medicare – about 34 million in traditional Medicare and the rest in Medicare Advantage. Traditional Medicare is administered by...

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August 22, 2023

Telehealth Enforcement Actions

Fraud, waste, and abuse (FWA) associated with telehealth services existed before COVID-19, but it significantly increased during the pandemic. An audit by the U.S. Health and...

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July 26, 2023

Complexities of Covered Entities and Business Associates 

Proactive relationships protect patient rights Healthcare organizations often contract with third parties to handle work they are unable to perform themselves. That work often...

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June 14, 2023

Anti-Kickback Statute Enforcement in Healthcare 

Tips for Compliance Officers to Manage Risk A patient undergoes surgery requiring a medical device. A physician prescribes a new medication. A medical practice increases the...

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May 24, 2023

New DOJ Guidance on Compliance Programs Released March 2023

Incentives, Compensation Structures, and Consequence Management for Healthcare Compliance A new document from the Department of Justice (DOJ) will give you reason to revisit some...

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April 12, 2023

Post-PHE Preparations: Ensuring Quality Patient Care 

How Compliance Can Leverage the OIG’s 7 Elements and HHS Roadmap With the end of the COVID-19 Public Health Emergency (PHE) coming in May, many healthcare compliance leaders are...

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April 5, 2023

Preparing for the End of the Public Health Emergency

CMS Updates to beneficiary PHE waivers that matter to healthcare compliance Sharon Parsley, JD, MBA, CHC, CHRC, contributes regularly to the YouCompli blog. In this article, she...

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March 29, 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

Sanctions and penalties for hiring excluded individuals in healthcare 

Best practices to ensure an effective exclusion check By CJ Wolf, MD

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December 7, 2022
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