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Compliance Oversight and Program Integrity in Medicaid Managed Care

USA - September 25 2018 In the past four months, the Government Accountability Office (GAO) and Office of the Inspector General (OIG) have issued a barrage of reports...

Thomasina P. Anane, Anthony J. Fiori.

Telehealth: A New Frontier for Compliance Officers

USA - July 19 2018 States take varying approaches to defining the terms telemedicine and telehealth. Even within states, there may be varying bodies of law and...

Megan Sherman.

State Telehealth Laws and Medicaid Policies: 50-State Survey Findings

USA - July 10 2018 The use of telemedicine services is growing nationwide as providers and payors seek to improve access and better manage patient care, while reducing...

Jacqueline D. Marks, Jared Augenstein.

The Eight Key Elements of Effective Compliance Programs

USA - January 25 2018 Mandated compliance programs are not a new concept, but they have evolved over time. The Deficit Reduction Act of 2005 required all Medicaid...

Richard S. Hartunian, Jacqueline C. Wolff.

New Enforcement Trends Changing the Fraud and Abuse Landscape

USA - December 18 2017 In the context of enforcement, data analytics means using data collected by the Centers for Medicare & Medicaid Services (CMS) to evaluate trends...

Richard S. Hartunian, Jacqueline C. Wolff.