Category Archives: Compliance

Agile and Dynamic Risk Assessment (DRA) are part of the blue print for enabling the internal audit processes of the future. Agile approach to IA: iterative, cross-functional collaboration (e.g., collaborate on identification of risk areas and alignment on what is audited and why), focus on business value and continuous improvement. Cognitive science / Agile approach suggests: The longer we… Read More »

By Amber Fecik, Manager, Deloitte & Touche LLP and Amelia Abba, Manager, Deloitte & Touche LLP As noted in previous blogs, the MA-RI Chapter of HFMA teamed up with the New England Healthcare Internal Auditors (NEHIA) organization on December 2nd and 3rd to put on NEHIA’s annual Compliance and Internal Audit Conference.  A few additional highlights from the… Read More »

By Amber Fecik, Manager, Deloitte & Touche LLP and Amelia Abba, Manager, Deloitte & Touche LLP The HFMA MA-RI Chapter teamed up with the New England Healthcare Internal Auditors (NEHIA) organization last week to put on NEHIA’s annual Compliance and Internal Audit Conference.  The conference was attended by more than 140 participants and was a great success!  Thank… Read More »

By Dhara Satija, HFMA MA-RI Chapter Board Member & Compliance Committee Co-Chair and Amber Fecik, NEHIA Board Member The HFMA MA-RI Chapter and New England Healthcare Internal Auditors (NEHIA) organization would like to thank all of those who made last week’s virtual Compliance and Internal Audit Conference a success! Thank you to our more than 140 participants who… Read More »

By: Katherine Record, Executive Director, Beth Israel Lahey Health Medicaid ACOs and Performance Network Compliance & Privacy Strategy, HFMA MA-RI Chapter, Compliance Committee Member, CMS is making changes to E/M codes 99201-99205 and 99211-99215, which are likely to be adopted universally across all payers (including commercial). What do you need to know? For the first time, physical exam… Read More »

By: Garrett Gillespie, Corporate Compliance Officer and Deputy GC, BMC HealthNet Plan; HFMA MA-RI Chapter Compliance Committee Member, What to review to identify risks:  senior management surveys, operational management interviews, regulatory publications (e.g., OIG website), audit staff input, external sources. Audits are won or lost in the preparation.  Think about: What do you need to know? What should… Read More »