Keys to Support Medical Necessity in Dermatology (NEEDS UPDATED)
I recently spoke at high level about denials at the DMA conference, including Medical Necessity—specifically, how to defend claims when a payer alleges services fail to meet the “reasonable and necessary” standard. In FY 2025, DOJ reported record False Claims Act recoveries exceeding $5.7 billion tied to healthcare matters, with enforcement heavily focused on medically unnecessary or substandard care, […]
OIG Audit Confirms: Postoperative Visit Reporting (99024) is a Top Compliance Priority
At Compass Healthcare Consulting, we closely monitor regulatory developments to help our clients stay ahead of compliance risks and issues that can impact revenue. A recent report from the U.S. Department of Health and Human Services Office [...] 