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By: Dr. L.A. Stanton Healthcare Compliance Insight | OIG Advisory Opinion 26-14 The Office of Inspector General (OIG) recently issued a favorable advisory opinion that offers healthcare providers, laboratories, and pharmaceutical manufacturers valuable guidance on how patient access programs can be designed without crossing compliance boundaries. What's the Story? A pharmaceutical manufacturer proposed paying for free antibody testing for patients who may have a rare neuromu

Pay-to-Play Referrals? OIG Draws a Hard Line on Referral Technology Healthcare Compliance Alert | OIG Advisory Opinion 26-15 The Office of Inspector General (OIG) recently issued an unfavorable advisory opinion that sends a clear message to healthcare providers: Paying for faster access to patient referrals can create serious Anti-Kickback Statute (AKS) risk. What Happened? A home health agency paid a subscription fee to use an online referral management platform that allowe

Is Your Compliance Program Protecting Your Organization—Or Simply Checking a Box? By Dr. Louisa A. Parker, PhD, MBA, CHC, OHCCKLS Solutions Healthcare Compliance Every healthcare organization begins with the same mission: to improve lives through quality patient care. Yet even organizations with the best intentions can find themselves facing regulatory scrutiny when compliance becomes reactive instead of proactive. One of the greatest misconceptions in healthcare is that comp

In the ever-evolving landscape of home care, compliance is not just a regulatory requirement; it is a cornerstone of quality service delivery. As agencies strive to provide the best care possible, the complexities of compliance can often feel overwhelming. This is where KLS Solutions comes into play, offering tools and strategies that help streamline compliance processes, ensuring that agencies can focus on what truly matters: the care of their clients. Understanding Home Car

Navigating the complex world of Medicaid regulations can feel overwhelming. With ever-changing policies and intricate eligibility criteria, many individuals and families find themselves lost in a maze of information. This blog post aims to demystify Medicaid regulations, providing you with expert guidance from KLS to help you make informed decisions about your healthcare options. Understanding Medicaid Medicaid is a state and federal program designed to provide healthcare cov

In the home care industry, ensuring accurate billing is not just a matter of financial health; it is crucial for maintaining trust with clients and compliance with regulations. With the increasing scrutiny from auditors and payers, home care agencies must adopt best practices to create an audit-proof billing system. This post will explore effective strategies that can help agencies streamline their billing processes, minimize errors, and safeguard against audits. Understandin