J'non Griffin's Weekly Compliance Report

A heads-up from the OIG for FY 2025: The OIG says it wants greater scrutiny; Are we listening?.Here’s a heads-up that all healthcare providers, including mental health, substance use disorder treatment providers, and other behavioral health organizations need to note:...

Survey Guide for Behavioral Health: After the Survey.Were you cited during a behavioral health survey? Which do you think is the most stressful for behavioral health providers: preparing for an upcoming survey or dealing with...

Be Ready for Anything: Commonly Cited Survey Items.Policies and procedures function as the blueprint for a behavioral healthcare organization, but providers often struggle to keep them updated and to provide evidence that they are...

Providers face prep work under regulatory changes for SUD confidentiality.Providers of substance use disorder (SUD) services can expect to undergo major housekeeping tasks for their records and forms to comply with new, overhauled regulations for SUD...

Seven telehealth billing practices are red flags to the OIG.Is your behavioral healthcare organization analyzing its own Medicare telehealth claims data to assess potential program integrity risks? Many of SimiTree’s behavioral healthcare...

Expanding telehealth provisions bring escalating compliance risk.Behavioral healthcare providers who bill Medicare will continue to see significant changes in telehealth as they implement new provisions allowed under the Medicare Physician Fee...

Before and after: A survey guide for behavioral healthcare providers.Surveys can be stressful, but they offer healthcare providers the chance to look under the hood and figure out exactly where the engine of the organization needs a tune-up. A little...

New SDoH assessment code requires attention to compliance details.New SDoH assessment code requires attention to compliance details As the Centers for Medicare and Medicaid Services (CMS) broadens its whole-person health initiative, we’re...