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…

Do You Realize the Importance of Properly Signing Medicare Documents?

In healthcare, documentation is more than just paperwork; it serves as a record of care, a communication tool, and a legal requirement. Ensuring that providers sign, date, and accurately complete documents is essential for compliance. Neglecting this crucial step can lead to claim denials, increased audits, and financial challenges. This blog will explain the importance of Medicare signature requirements, the potential consequences of overlooking them, and how to protect against these risks. Why Your Signature…