The COVID-19 pandemic put a strain on the entire healthcare industry and, for risk adjustment in particular, the disruption caused by the pandemic resulted in both positive and negative effects. Here are several strategic items to help your organization prepare for the new year.
Tag: Compliance Program
Feeling the Madness! The 2020 CMS Program Audit Cycle Begins
This March, sports will not be the only excitement—health plans are gearing up to receive audit notices as we enter the second year of the four-year Program Audit Cycle. Are you performing “mock” auditing to identify and mitigate risks?
How to Efficiently Conduct an Audit
Audits from regulatory bodies swarm around an organization like bees. And like a bee, upon…
This Is the Year to Get It Right
Five consecutive years of very similar audit protocol, continuous partnering with sponsors to identify improvements,…
2015-2016 CMS Program Audit Protocols Update
It’s Christmas in October (and Hanukkah, too) if you’ve been waiting for the revised 2015-2016…
Annual Compliance Program Audit: Your Organization’s Achilles Heel?
When it comes to auditing throughout the Organization, the truth is that much of the…