When is the last time your hospital, health system or organization looked at codes and clinical documentation to ensure everything was compliant with law and best practices? If revenue cycle teams are ...

In September 2014, the U.S. Dept. of Health and Human Services’ Office of the Inspector General (OIG) published its audit of Tulare Regional Medical Center, an acute care hospital in California. In ...

Noncompliant coding is a more significant risk to the revenue cycle than providers may realize, accounting for $36 billion in annual lost revenue, denials, and fines. In 2019 alone, the CMS and the ...

4. Keep the board informed. Allow the compliance officer to deliver all compliance reports to the board. CEOs should meet with the officer prior to the board meeting and get likeminded on the report’s ...

This article provides observations on the type of compliance review needed for physician-owned hospitals.The Stark Act provides specific limitations applicable to physician ownership of a hospital, ...

Coding of physician office visits can be very confusing – and is ever-changing. Every year, regulations and guidelines change, and it is difficult for providers to keep up. Most groups have coding ...