Compliance & Legal Affairs
Expert articles and analysis related to compliance & legal affairs.
AI Summary — Last 30 Days
Over the past 30 days, compliance and legal risk for Medicare Advantage (MA) organizations and health systems have intensified, with the Office of Inspector General issuing updated compliance program guidance and conducting targeted audits on both diagnosis code submissions and home health provider practices—signaling sustained federal scrutiny post-transition to the Trump administration (OIG MA guidance, [OIG MA audit](https://news.google.com/rss/articles/CBMi6gFBVV95cUxQMVR1S1BYQjBhQk1RR1NsSGZfYUx2ZHJLNDlYWWQzbU9Tcl9ZX0llRnp2YXFvZ0VnN2p0ZEhId1BsVTRwendjU2NwcnVBakFZTTFT
Related Articles
General Question for the Week of April 20, 2026
Can you give an example of when to report 59 Distinct Procedural Service?
Radiology Question for the Week of April 13, 2026
What is the correct coding approach when iliac atherectomy and angioplasty and/or stent placement are performed in the same leg through the same access site?
General Question for the Week of April 13, 2026
When is modifier 25 applicable?
Respiratory Question for the Week of April 6, 2026
Under what conditions can we bill for 94640 and 94664 on the same date of service?
AI is great, but compliance needs you
AI is great, but compliance needs you. Don't let automated logic gamble with your healthcare compliance. View Online In today’s AI-driven world, automating your healthcare regulatory data might seem l...
Celebrating Lab Week with Expert 2026 Laboratory Coding Analysis: Microbiology Additions
April is the time to celebrate laboratory professionals and honor their invaluable contributions to our complex healthcare system. Laboratory professionals are a critical component of our ever-evolvin...
General Question for the Week of April 6, 2026
What is the AMA's stance on generative AI?
HL Shorts: The CFO Mindset Shift on Compliance
HL Shorts: The CFO Mindset Shift on Compliance  HealthLeaders Media
When in Doubt, Ask – RACmonitor
Sometimes you want to be contacted by the US Department of Health and Human Services (HHS) Office of Inspector General (OIG). Â I realize that sounds totally counterintuitive. I mean, who wants to hav...
Provider-Based Status Under the Microscope: Preparing for Mandatory Attestations, Navigating Compliance Risks, and Avoiding Enforcement Pitfalls
Provider-Based Status Under the Microscope: Preparing for Mandatory Attestations, Navigating Compliance Risks, and Avoiding Enforcement Pitfalls  Bass, Berry & Sims PLC