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In healthcare documentation audits, reviewing every single claim or record simply isn’t practical — yet reliable conclusions are still essential. That’s where audit sampling comes in. By thoughtfully selecting a subset of records to review, auditors can efficiently uncover insights and risks that reflect the broader population. Our whitepaper, Sampling for Medical Chart Audits, breaks down the most common sampling strategies and explains how choosing the right one impacts your results. What You’ll Learn From

In a recent report published by the U.S. Department of Health and Human Services Office of Inspector General (HHS-OIG), it was concluded that the Medicaid program in the state of Maine made improper fee-for-service payments of at least $45.6 million for rehabilitative and community support (RCS) services furnished to children diagnosed with autism spectrum disorder (ASD) that were found to out of compliance with Federal and State requirements. In the wake of these findings, HHS-OIG

Survey readiness is not an option in today’s skilled nursing environment.  The Department of Health (DOH) can enter your facility at any time, whether on a complaint or for an annual survey. If DOH walked through your doors today, is your facility prepared? The staffing challenges the healthcare industry is facing leads to a high rate of staff turnover.  Is your current staff prepared for a survey?  Do they know the facility’s policies and procedures? How would they respond to surveyor questions?  How would they score on a medication pass or treatment