Search Results: independent
Meeting the Challenge of Medicare Appeal Delays
Two years and counting … The Web site for the Office of Medicare Hearings and Appeals (OMHA) in the U.S. Department of…
Medicaid vs. Medicare Claims Audit Appeals: A Road Less Clear
In recent years the enforcement climate has become harsher than ever before as more and more providers experience significant recovery…
Compliance Program Leveraging of Audit Resources
The compliance officer is an independent and objective fact finder with the mission of ensuring the organization is in compliance with all…
Managed Care Advisory Services
Managed Care Industry Experience Strategic Management has been providing compliance-related services to health insurance plans and managed care organizations (MCOs)…
Critical Factors in Differentiating Hotline Services
Hotline Clients Should Be Held by Service, Not Contract Look at vendor contracts carefully. There are many tricks to “lock in”…
Auditing Hotline Effectiveness
More and more legal and regulatory requirements call for having an employee hotline, including the U.S. Sentencing Commission Guidelines for…
Auditing and Monitoring: How to Get it Done
One of the seven critical elements of a compliance program is ongoing auditing and monitoring. The U.S. Department of Health and…
The Medicare Appeals Process – Is It Working in 2013?
I. Background Health care providers, suppliers, and beneficiaries may appeal the denial of claims for payment under Medicare Parts A,…
How Effective is Your Auditing Hotline Operation?
Hotline Reviews Should Demonstrate How Organizations Encourage Employees to Report Problems More and more legal and regulatory requirements call for having an employee…
Tom Herrmann Contributes to the Health Care Compliance Professional’s Manual
Tom Herrmann recently contributed to the Health Care Compliance Professional’s Manual to provide guidance to compliance officers faced with entering…
Corporate Integrity Agreements: IRO Review of Unallowable Costs
A Corporate Integrity Agreement (CIA) outlines the obligations an entity agrees to as part of a civil settlement with the…
Steven Forman Promoted to Senior Vice President
Strategic Management is pleased to that Steven Forman has been promoted to Senior Vice President. “We are extremely pleased to…