Compliance

Build an OIG Compliance Program That Protects Your Medical Practice

An effective compliance program isn’t something you create once and file away in a binder. It’s a living system that helps your practice prevent mistakes, improve billing accuracy, reduce fraud risk, and respond confidently when regulations change. As healthcare enforcement becomes increasingly data-driven, physician practices are under greater scrutiny than ever before. The Department of […]

Published Date: July 21, 2026

Outdated Compliance Processes Are Holding Your Medical Practice Back

It is late Friday afternoon. Your front desk is still checking in patients, providers are finishing charts, and someone suddenly asks your office manager to locate a signed compliance acknowledgment from three years ago. Your staff starts searching through paper binders, old emails, shared drives, and disconnected systems while stress levels climb throughout the office. […]

Published Date: July 2, 2026

How to Win More Payment Disputes Under the New Federal IDR Process

The latest federal Independent Dispute Resolution (IDR) operations rule makes it clear that physician practices can no longer treat No Surprises Act compliance as an occasional administrative task. The federal government has finalized new requirements that directly affect how you challenge underpayments, negotiate with health plans, and recover revenue from out-of-network claims. If your team […]

Published Date: June 18, 2026

Why “Check-the-Box” Compliance Training Is Putting Your Practice at Risk

If your team is simply signing training acknowledgments, you have a hidden compliance risk. A signature does not mean your staff understands how to prevent a HIPAA breach or identify fraud risk—it only proves they clicked through a course. To protect your practice, you need active, competency-based training. That means using real-world scenarios, testing understanding, […]

Published Date: June 16, 2026

Protect Your Practice from Fraud, Waste and Abuse Violations

Compliance is no longer something your practice can afford to treat as a once-a-year training requirement. Government agencies continue to increase enforcement efforts targeting fraud, waste, and abuse in healthcare, and many investigations begin with issues that could have been prevented through better education, stronger oversight, and consistent compliance processes. The good news is that […]

Published Date: June 8, 2026

OIG Audit Priorities You Should Be Monitoring

If you manage a medical practice today, the federal government is already telling you where compliance investigations, audits, billing scrutiny, and improper payment reviews are heading next. The problem is that many physician practices are too busy handling staffing shortages, reimbursement cuts, payer denials, and operational fires to actually monitor those warning signs. That is […]

Published Date: May 28, 2026

Medicare Advantage Compliance: Why Physician Practices Need to Take Action Now

Many physician practices assume Medicare Advantage compliance rules mainly affect insurance companies and large Medicare Advantage Organizations (MAOs). But in reality, your medical practice is directly affected by many of these enforcement initiatives—especially when it comes to documentation, coding, prior authorization, medical necessity, risk adjustment, and patient access to care. In 2026, CMS, the Office […]

Published Date: May 26, 2026

Patient Refund Rules Are Changing: What Your Practice Needs to Know Now

Accurate patient billing is not optional—you rely on it to protect your revenue, stay compliant, and maintain patient trust. When your billing processes are inconsistent or unclear, you increase the risk of patient overpayments, credit balances, and regulatory exposure. These issues are becoming more important as lawmakers focus on protecting patients from financial harm. You […]

Published Date: May 25, 2026

Fraud, Waste, and Abuse in Medical Practices: Can You Pass This Compliance Check?

If you participate in Medicare Advantage, you are required to complete Fraud, Waste, and Abuse (FWA) training annually—no exceptions. According to the Centers for Medicare & Medicaid Services, Medicare Advantage organizations and their downstream entities must provide annual FWA training to employees and contractors. Skipping or delaying training puts your practice at risk for audits, […]

Published Date: May 21, 2026

Key Differences Between Stark Law & Anti-Kickback Statue Explained

If you’re like most medical practices, you’ve probably heard of both Stark Law and the Anti-Kickback Statute—but the differences between them are where most compliance mistakes happen. Here’s the problem: Many practices assume that if they’re compliant with one law, they’re safe. That’s not true. In fact, the Office of Inspector General (OIG) makes it […]

Published Date: May 7, 2026

Compliance

Compliance

Build an OIG Compliance Program That Protects Your Medical Practice

Outdated Compliance Processes Are Holding Your Medical Practice Back

How to Win More Payment Disputes Under the New Federal IDR Process

Why “Check-the-Box” Compliance Training Is Putting Your Practice at Risk

Protect Your Practice from Fraud, Waste and Abuse Violations

OIG Audit Priorities You Should Be Monitoring

Medicare Advantage Compliance: Why Physician Practices Need to Take Action Now

Patient Refund Rules Are Changing: What Your Practice Needs to Know Now

Fraud, Waste, and Abuse in Medical Practices: Can You Pass This Compliance Check?

Key Differences Between Stark Law & Anti-Kickback Statue Explained

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