When Medicare Audits Your Medical Practice
January 16, 2026
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Being a Medicare provider means opening your practice up to government monitoring and possible audits. Medical practices often enroll as
Blog
Category: Healthcare Insurance Compliance
Articles on responding to payors and regulators. Topics cover insurance, Medicare, and Medicaid audit response, clawback defense, reporting obligations, and licensing board and professional discipline matters, written for practice owners facing an audit, an overpayment demand, or a board inquiry.
Medicaid Cuts: Practical Considerations for Your Practice
September 9, 2025
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Medicaid changes could shrink coverage and strain your revenue. This post outlines practical ways to maintain access to care and keep your practice stable.
Which Insurance Policies Does Your Healthcare Practice Need?
September 4, 2025
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Not sure which insurance policies are required, and which are just smart to have? We break down the essentials for small- to mid-sized healthcare practices.
Denied Coverage After a Breach? Failing to Meet HIPAA Standards Could Be Why
May 30, 2025
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Many healthcare practices assume they’re covered under cyber insurance—until they aren’t. Here’s why HIPAA compliance could make or break your claim.
D-SNPs Explained
April 30, 2025
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Learn how D-SNPs support clients who have both Medicare and Medicaid. Understand eligibility, benefits, and why these plans matter for healthcare access.
The No Surprises Act: What Out-of-Network Healthcare Practice Owners Need to Know
November 15, 2024
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Navigating the No Surprises Act can be challenging, especially for out-of-network providers. Discover your practice’s obligations to patients and the key steps to compliance.
Is an IPA Right for Your Medical Practice?
October 1, 2024
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Are you a physician considering joining an Independent Practice Association (IPA)? Read on to explore the benefits and drawbacks of entering this type of arrangement.
Adding Ozempic and Wegovy to Your Practice? How to Do It Right
July 20, 2023
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Weight loss drugs are all the rage! Discover how to ethically incorporate weight loss drugs like Ozempic and Wegovy into your practice while avoiding legal pitfalls.
CERT Audits: Must-Know Insights and Protective Measures
June 26, 2023
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Learn the ins and outs of CMS’s routine CERT audits to minimize stress, stay compliant, and safeguard your practice from financial consequences.
Insurance Audits for Out-of-Network Practices
March 17, 2023
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An audit notice can come as a surprise for practices that are out-of-network with insurance companies. The goal was to avoid insurance regulations! We unpack why you’re being audited and how to handle it.
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