Angela Palo is COO of Pinnacle Financial Services, a leading National Medicare Brokerage, and member of the NABIP Medicare FMO Council. For several years, I was the compliance officer at my agency. It ...
Medicare Advantage plans and physician groups have been put on notice by the Center for Medicare and Medicaid that stiffer penalties await, including more severe sanctions and fines, where fraud, ...
In this alert, we summarize key details of the Office of Inspector General’s (OIG) updated Medicare Advantage Compliance Program Guidance (the “Guidance”) for Medicare Advantage Organizations (MAOs), ...
For the first time in more than two decades, the U.S. Department of Health and Human Services, Office of Inspector General (OIG) released new Industry Segment-Specific Voluntary Compliance Program ...
CMS issued a proposal to update its Medicare compliance requirements Sept. 17, which includes eliminating duplicative ownership disclosures for critical access hospitals and other requirements that ...
Angela Palo is COO of Pinnacle Financial Services, a leading National Medicare Brokerage, and member of the NABIP Medicare FMO Council. Medicare agencies and brokers juggle lead pipelines, sales ...
Recent CMS updates to the State Operations Manual and survey processes, alongside Canada's mandated shift to the interRAI LTCF system by 2026, signal heightened compliance expectations for long-term ...
Why it matters: Fraud, waste, and abuse in Medicaid dental services can lead to financial loss, exclusion from programs, and even criminal charges. Common pitfalls: Improper coding, lack of medical ...
The success of this initiative will rely heavily on hospital compliance. In this blog post, we assess early hospital compliance and discuss the implication of our results for the future of health care ...
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