Search Results: independent
CMS RAC Audits: Complex Review Issues
Although the Centers for Medicare and Medicaid Services (CMS) implemented the Recovery Audit Contractor (RAC) as a permanent program over a year…
Why OIG RAT-STATS and Sampling are Hot
The Best Strategy for Health Care Entities Is One of Proactive Preparedness The Centers for Medicare & Medicaid (CMS) are…
OIG RAT-STATS: Response Strategies to Government Audits
The Centers for Medicare and Medicaid (CMS) are now combating provider fraud, waste, and abuse through nationally coordinated strategies and…
How Can CEOs and Board Members Keep Score on Compliance Risks?
The U.S. Sentencing Commission and the Office of Inspector General (OIG) gave health care institutions a clear guide to effective…
Disclose or Not Disclose: That is the Question
Our firm has been engaged to review claims and arrangements for a great many of hospitals. Invariably, we find errors,…
New Charging Guidelines Underscore the Importance of Cooperation and Evidencing Program Effectiveness
A periodic independent audit or evaluation of the compliance program’s effectiveness is critical. This cannot be done credibly by the compliance…
Leasing Agreements between Hospitals and Physicians Draw Considerable Attention
Simple Tips to Help Compliance Professionals Understand Complex Standards and Improve Agreements By now most hospitals are acutely aware that the Office of…