On February 3, 2026, the U.S. Department of Health & Human Services, Office of Inspector General (OIG), published the long-awaited Medicare Advantage Industry Segment-Specific Compliance Program ...
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 ...
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), ...
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Does your organization have a strategy in place to ensure EMTALA compliance? Hospitals that violate EMTALA are subject to civil penalties of $64,618 to $129,233 per violation, lawsuits for damages, ...
A new study reveals that inpatient psychiatric facilities are spending vast amounts of their budgets to comply with CMS regulations. Medicare costs these facilities an average of $1.7 billion annually ...
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Medicare Advantage (MA) health plans, under which elderly Americans can choose to receive medical benefits through private companies, continue to grow rapidly. Thanks to changes in policy and the ...
We collaborate with the world's leading lawyers to deliver news tailored for you. Sign Up for any (or all) of our 25+ Newsletters. Some states have laws and ethical rules regarding solicitation and ...
ATLANTA--(BUSINESS WIRE)--Compliance 360, a leading provider of on-demand software solutions for enterprise governance, risk management and compliance (eGRC) and the most widely used solution in the ...
Doctors’ billing practices will be scrutinised more heavily than ever as the federal government moves to establish expanded ...