CMS Reminder to Practice Vigilance Against Medicare Fraud, Waste and Abuse
On April 15, 2022, the Centers for Medicare & Medicaid Services (CMS) released potential fraud, waste and abuse (FWA) trending […]
Compliance Monitoring
Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare
Payment integrity and provider relations are two critical pillars of a well-functioning healthcare system. When effectively managed, they can lead
2024 CMS Program and Focus Audits: Are You Prepared?
Starting January 2024, the Medicare Parts C and D Oversight and Enforcement Group of the Centers for Medicare & Medicaid
2024 CMS Program Audit Updates: Summary and Insights
Summary of the HPMS Memo Generated by USHER (Inovaare’s AI-powered Compliance Assistant) The Centers for Medicare and Medicaid Services (CMS)
Medicare Advantage Compliance: Lessons from High-Stakes Penalties
In recent news, the healthcare industry has been abuzz with significant developments that carry vital lessons for Medicare Advantage plans,
The Transformative Power of GenAI in Compliance and Operations
As a former U.S. healthcare operation management professional, I understand the complexities and dynamic nature of the healthcare compliance landscape.
The Inovaare – MongoDB Partnership: Unlocking Excellence in Healthcare Compliance
Add New Post In a world of evolving healthcare regulations, compliance isn’t just a mandate – it’s a cornerstone of
What you should know about Part B drug payments to comply with IRA 2022
The Inflation Reduction Act of 2022 has wide-ranging impact on payments for drugs used by Medicare beneficiaries, whether they are
2023 CMS Audit Protocols: What You Need to Know
The Centers for Medicare & Medicaid Services (CMS) has released new audit protocol changes for Medicare and Medicaid plans. These
Proactive Healthcare Compliance and the Importance of Continuous Monitoring
Proactive healthcare compliance refers to an approach where an organization seeks to identify and address compliance risks before they become