Internal vs. External Audit Decisions

We all know that monitoring and auditing are part of an effective compliance program.  There are two ways to do this; you can handle reviews internally, or you can outsource them to an external entity. This blog will discuss some considerations for the best choice for you. One of my favorite quotes is “You don’t know what you don’t know,” penned by Donald Rumsfeld in 2002.  The underlying meaning of this quote can be applied…

The Hertel & Brown Case: Harsh Reminders for Therapy Clinics

The developments in the Hertel & Brown Physical and Aquatic Therapy fraud case will greatly affect the healthcare industry. This case highlights the consequences of non-compliance and unethical billing practices. It is essential to analyze the key takeaways from this case and examine the broader implications for outpatient therapy clinics. The Hertel & Brown Case Hertel & Brown Physical and Aquatic Therapy is an outpatient therapy provider in Erie County, Pennsylvania. A federal grand jury…

Overcoming Challenges of the SNF Special Focus Facility List and Moving Up the Star Ranks

This new whitepaper addresses the ongoing challenges faced by Skilled Nursing Facilities (SNFs) on the Special Focus Facility (SFF) or SFF Candidate list.  The difficulties include navigating increased regulations, limited access to capital, and staffing issues, all of which hinder a facility’s ability to improve outcomes and advance in the star rankings. Download our whitepaper to discover key strategies for overcoming these challenges and moving off the SFF list, including the role of compliance, corrective…