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Report on Medicare Compliance

Weekly News and Analysis on New Enforcement Initiatives and Billing/Documentation Strategies

Report on Medicare Compliance is a weekly 8-page newsletter written for busy compliance officers to provide timely news and valuable strategies that can help you run a more effective compliance operation and limit your exposure to compliance risks. Providing field-tested tools such as checklists, sample forms, and decision trees, each issue is also packed with strategies and insight from experts to help with your most serious risk areas, such as:

• Medical necessity,
• High-risk DRG coding,
• RACs, MACs, ZPICs, and MICs,
• Stark compliance,
• Physician documentation,
• And much more

There has never been a period of greater risk and uncertainty for your hospital’s Medicare compliance, with the government’s new-found enforcement weapons, tactics and sheer aggressiveness. Report on Medicare Compliance is a reliable source for timely guidance on the complex, big-dollar compliance challenges you face today:

• Get guidance on what can you do to minimize fallout as the HHS Office of Inspector General is hitting hospitals with Medicare compliance reviews, auditing multiple risk areas at the same time and examining compliance procedures.
• Find out about the benefits and some of the surprising pitfalls under CMS’s revamped physician supervision rules for outpatient therapeutic services so that hospitals can now use a combination of direct and general supervision for certain kinds of infusion, injection and observation, and can seek APC Panel permission to reduce the supervision level for other services.
• Learn how organizations have been burned by their employees or contractors that were excluded from Medicare or Medicaid, find out ways to improve screening, and discover the possible benefits of self-disclosure to OIG.
• Find out how to identify and reduce the potentially enormous risks from Stark penalties, kickback prosecution and false claims allegations; and make the most of CMS’s new self-referral disclosure protocol, as hospitals race to employ more physicians and form accountable care organizations and physician arrangements are booming.
• See examples of steps you can take to help coordinate your response to CMS’s recovery audit contractors, MACs, ZPICs, and Medicaid RACs and minimize your denials.
• Find out what the government’s plans to recover every Medicare and Medicaid overpayment under the health reform law means for your organization, and what new internal procedures you may need to establish to comply with the provisions for the prompt return of overpayments.

Report on Medicare Compliance has been written by Managing Editor Nina Youngstrom since 1992. A one-year subscription includes:

• 45 issues of Report on Medicare Compliance delivered First Class by U.S. Mail and electronically (optional).
• Eligibility to receive up to 12 Continuing Education Credits per year, which count toward certification by the Compliance Certification Board. For more information, contact CCB at 888-580-8373.
• Informative, subscriber-only E-alerts when timely news breaks.
• AIS’s 100% Satisfaction Guarantee.
• Access to a subscriber-only Web page with:
• Three years of searchable archives of past issues,
• Recent stories of interest and hot topic articles grouped for convenient reading, and
• Regular postings from your editor.

Subscribers Receive Continuing Education Credits

Subscribers to Report on Medicare Compliance are eligible to receive one (1) CCB Continuing Education Credit per issue, as long as the total, alone or in combination with other publications, does not exceed 50% of the continuing education requirement. Continuing Education Credits count toward certification by the Compliance Certification Board. For more information, contact CCB at 888-580-8373.