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Have an E/M question that continues to spark debate on your team?On August 19, CJ Wolf, MD, will answer the questions th...
08/06/2026

Have an E/M question that continues to spark debate on your team?

On August 19, CJ Wolf, MD, will answer the questions that create the most confusion during The Most Misunderstood E/M Coding Decisions: Answering Auditors’ Toughest Questions.

This webinar will tackle real questions from healthcare auditors, coders, and compliance professionals, using practical examples to explain how the guidelines apply when the answer isn’t immediately clear.

Register and submit your questions for CJ to address during the webinar: https://hubs.la/Q04s9tDq0

07/31/2026

Just a reminder, because it always bears repeating:

Know your MAC before you need them.

That means understanding:
✔️ Their review process and timelines
✔️ Their documentation requirements
✔️ Who your points of contact are
✔️ The active issues they're focused on

CJ also reminds us that no one can be an expert in everything. Whether you rely on internal specialists, external experts, or both, having experienced people involved in the response process can make a significant difference.

If you missed Monday's webinar, you can still catch the recording here: https://hubs.la/Q04r1CPt0

Correct coding is only part of the audit. Some physician procedures require far more than accurate coding. Auditors must...
07/29/2026

Correct coding is only part of the audit.

Some physician procedures require far more than accurate coding. Auditors must determine whether the documentation supports Medicare's coverage requirements, medical necessity, and clinical criteria before a claim should be paid.

Join CJ Wolf, MD for Auditing Procedures with Complex Medicare Coverage Requirements where he'll use a recent Medicare enforcement case to demonstrate a practical approach you can apply across a wide range of physician audits.

Register Now: https://hubs.la/Q04r1GdH0

07/28/2026

Don't let an avoidable documentation issue become the reason for a denial.

When responding to a Medicare review, don't just send the requested record and hope for the best. Review it the same way an auditor or reviewer will.

Ask yourself:
✔️ Was the test ordered by the treating physician or practitioner?
✔️ Is the order signed?
✔️ Is every provider signature legible?
✔️ If a signature isn't legible, have you included an attestation statement?

Too often, claims are denied for documentation issues that could have been identified and corrected before submission.

As CJ puts it: Do your homework. Be prepared. Submit the documentation you know they're looking for.

When audit resources are limited, deciding where to focus becomes just as important as how you audit.One place to look? ...
07/14/2026

When audit resources are limited, deciding where to focus becomes just as important as how you audit.

One place to look? Medicare's own Target, Probe and Educate (TPE) audit program.

Join CJ Wolf, MD as he shares what today's TPE audits reveal about the services and coding issues generating the most scrutiny, and how those findings can help you prioritize your own audit plan.

📅 July 27, 2026
🕐 1:00 PM ET

06/26/2026

OIG enforcement priorities don't appear overnight. They often follow a recognizable pattern:

➡️ News stories and whistleblower allegations raise concerns.
➡️ Congress and the OIG begin paying attention.
➡️ The OIG publishes reports and data analyses identifying trends.
➡️ Focused audits and investigations often follow.

Understanding that progression gives compliance professionals and auditors an opportunity to be proactive instead of reactive.

In our latest webinar, CJ Wolf broke down how the OIG's recent focus on peripheral vascular procedures fits that pattern, and why the same approach can help you anticipate risk in other areas of healthcare.

Watch the full webinar here: https://hubs.la/Q04mNmWB0

06/23/2026

$3.25 billion in fines.

That’s the amount reportedly issued last year related to and automated decision technology enforcement activity — and it’s a clear sign that regulators are no longer treating AI governance as optional.

Watch our on-demand webinar to learn more: https://hubs.la/Q04jCNRj0

Many auditors spend years mastering regulations, guidelines, and technical requirements.But how often do we focus on the...
06/18/2026

Many auditors spend years mastering regulations, guidelines, and technical requirements.

But how often do we focus on the skills that make audits truly effective?

In our upcoming webinar, The Modern Auditor's Playbook, we'll discuss the professional competencies that support successful audit functions—from independence and judgment to communication and credibility.

If you're looking to elevate the impact of your audits, this webinar is for you.

📅 June 30 at 1 PM ET
🎤 Presented by CJ Wolf, MD
Register here: https://hubs.la/Q04lT2T90

Healthcare compliance programs generate a lot of data, but are you tracking the metrics that actually demonstrate effect...
06/15/2026

Healthcare compliance programs generate a lot of data, but are you tracking the metrics that actually demonstrate effectiveness?

We created a practical Healthcare Compliance KPI Checklist to help compliance leaders identify gaps, improve visibility, strengthen oversight, and demonstrate continuous improvement over time.

Download the checklist: https://hubs.ly/Q04kKxY50

Here's one of our favorite comments from our recent webinar breaking down Texas and Colorado’s new laws for healthcare...
06/12/2026

Here's one of our favorite comments from our recent webinar breaking down Texas and Colorado’s new laws for healthcare organizations.

We covered what’s actually required, where organizations may be exposed, and practical steps teams can take now to stay compliant across state lines.

Missed it live? The webinar is now available on demand: https://hubs.la/Q04jY7Tp0

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