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Website title: Compliancy Group Software: Healthcare Compliance Management
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The Sunshine Act is the common name for the Physician Payments Sunshine Act, a federal law that makes drug and device company payments to clinicians public.
Congress passed it in 2010 as Section 6002 of the Affordable Care Act, and the Centers for Medicare & Medicaid Services (CMS) runs it as the Open Payments program. The law requires disc...
Generative AI tools such as Google Gemini are increasingly built into the software healthcare organizations already use, and compliance professionals are often asked whether these tools can be used with patient information. The answer depends on more than the tool itself. Google includes certain Gemini products within the scope of its HIPAA business associate terms. St...
A risk-based internal audit is a structured review of your highest-risk coding and billing areas. These are the areas where errors are most likely to happen and would cost the most to fix. A risk-based audit plan lists which providers, coders, and services you will audit, in what order, and how often. To build the plan, you use two types of information. The first is ex...
Many coding, billing, and compliance teams set next year’s audit plan in Q4. OIG audit priorities for 2026 are a useful starting point, because the HHS Office of Inspector General (OIG) publishes the areas it is reviewing through its Work Plan and audit reports.
Compliancy Group hosted a webinar with C.J. Wolf, MD, Senior Compliance & Auditing Educator, to d...
Medical coding audit software is a platform that standardizes how auditors review clinical documentation against assigned codes, such as ICD-10, CPT, and HCPCS. It gives auditors one place to confirm that each claim is supported by the record, apply the same scoring rules, record findings, and track follow-up.
Healthcare organizations audit their coding to catch...