Attention Medicare Advantage Plans (and Consultants): They’re Coming!
They’re coming. They’re coming. CMS recently announced its plan: the long-threatened blitz of a government auditor army. 50 times as...
Heads Up, Retina Practices: The Modifier-25 Storm Isn’t Over Yet
By: Reid Pearlman, JD, CCEP, and Elizabeth Cifers, MBA, MSW, CHC, CPC For some time, the direction of healthcare fraud, waste, and abuse...
HHS OIG Settlement? Don't Leave Clients Hanging.
Healthcare defense attorneys, you've battled hard, negotiated a favorable settlement with the OIG, and secured your client's future....
Provider-based MSOs: New Year = Brighter Outlook + Compliance Opportunity!
2025 brings a brighter outlook and compliance opportunity Private equity-backed, provider-based management service companies are rightly...
Private Equity MSOs: M&A Freeze? Perfect Time to Look at Compliance!
Healthcare private equity-backed MSOs, buckle up! With high borrowing rates stifling acquisitions for at least the next 12-18 months,...
Healthcare: Still Not Like Any Other Business
I recently returned from my professional association’s big national annual conference, the Healthcare Compliance Association’s Compliance...
(Real) Compliance is Part of the Sell
Two recent experiences called out to me, as good reminders for me personally, and teachable blog insights. First, I was approached by a...
Is Your Compliance Plan a Bible?
With Easter and Passover just behind us, it seems timely to share this story. Some years ago I had the opportunity to conduct a...
Have a Merry Compliant Christmas!
‘Twas the night before Christmas, when all through the house, not a creature was stirring, not even a mouse All the children slept, with...
Compliance in Wartime
I am convinced that the Covid-19 pandemic is nature’s war against humankind, and a 120-nanometer virus is the enemy footsoldier. For...
