Compliance Program

Basic Compliance Policies and Procedures

Medicare, Medicaid & Private Payor Updates /

(January 5, 2016): Now that you have appointed an individual to be responsible for the compliance program and created a compliance committee to help the compliance officer, the focus should turn to basic compliance policies and procedures. If an effective compliance program is like a house with a solid roof to protect the inhabitants from […]

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Mandatory Compliance Programs for Medicaid & Medicaid Providers?

Medicare, Medicaid & Private Payor Updates /

(July 30, 2014): In recent years, both the type and the frequency of Medicare and Medicaid audits of health provider and supplier claims have greatly increased. Not surprisingly, these administrative enforcement actions have led to a wide variety of adverse collateral effects, ranging from Medical Board investigations to the initiation of private payor audits. Notably,

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