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Stop FCA Risk: 60 Day Overpayment Rule for US Compliance Officers
US compliance teams: how to identify and report Medicare overpayments under the 60 day rule, plus lookback and suspension options.
Within 48 Hours: Overturn Prior Authorization Denials for US Practices
A 2026 operational playbook for US practices. Triage denials within 48 hours, leverage CMS and state rule changes, and build guideline cited appeals that win.
8 Step Audit Response Letter for US Practices That Protects Revenue
Use an 8 step audit response letter checklist for US practices: organize records, cite CMS and AMA requirements, secure receipts, and protect practice...
Time Based E/M Coding for US Practices: 5 Checks Before Any Claim
US independent practices: five checks before claims, exact minute documentation, and an automated preclaim review to reduce denials on time based E/M coding.
Reclaim Denied Revenue: A Playbook for US Medical Necessity Denials
Operational playbook for US independent practices to stop medical necessity denials: 30 day audit steps, appeal tactics, and CMS prior authorization fixes...
20 Calendar Day Rule: Physician Signature Attestations Save Claims
Medicare rules and clinic steps for physician signature attestations: who may sign, the 20 calendar day deadline, logs, and same day fixes.
US Practices: Reach HFMA 95% Clean Claim Rate with 30 Day Fixes
Learn HFMA 95% and 98% benchmarks, spot clearinghouse acceptance inflation, and apply 30/60/90 operational fixes to improve clean claim rate for US practices.
Stop Medicare Medical Necessity Denials: 30 Day Audit for US Practices
A compliance-first checklist for US practices and billers: document the clinical "why", use ABNs correctly, and run a 30 day audit to prevent Medicare...
What the 2026 OIG Work Plan Means for Compliance Officers
Discover how the 2026 OIG Work Plan impacts compliance officers and learn to self-audit effectively before federal scrutiny hits.