How to Prepare Your Organization for Government Program Compliance
Chris Cobourn, John Moose
As Medicaid and Medicare spending at the federal and state level continues to grow, scrutiny surrounding an organization’s program integrity will likely increase.
In the following Q&A, Chris Cobourn, Huron managing director, and John Moose, Huron director, provide practical information about preparing an organization for Government Program (GP) compliance from the top, down.
Q: At a high level, what are the top issues organizations face regarding GP compliance?
Chris: There is a lot of scrutiny on what organizations currently do, yet not a lot of clarification. This is particularly true regarding determination of treatment of fees, bona fide service fees, and fair market value.
John: Many companies underestimate the amount of effort required in order to implement an appropriate and proper system to support bona fide service fees. This path needs to be integrated within the practices and negotiations.
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