Understanding the rules before they catch you off guard
Medicare, Medicaid, and healthcare regulation change often, and rarely with much warning. This library breaks down what’s changing and what it means for your business, in plain language.
What we track so you don’t have to
Medicare
Coverage rules, billing requirements, and annual CMS policy updates.
Medicaid
State-level policy shifts, provider enrollment, and audit trends.
HIPAA
Privacy, security, and breach notification obligations.
OIG Exclusions
Exclusion screening and what it means for hiring and contracting.
State Licensing
Licensure renewal, scope-of-practice, and facility requirements.
Compliance, in plain terms
CMS issues major rule updates at least annually, with additional guidance and clarifications throughout the year. State Medicaid programs often move on a separate timeline. A policy that was accurate twelve months ago should never be assumed accurate today.
Yes, and it doesn’t need to be complicated. CMS expects providers of every size to have a functioning compliance program. The goal is a program sized to your team — practical enough that people actually follow it.
Consequences range from repayment demands and civil penalties to exclusion from federal healthcare programs, depending on severity. Most issues start small and are far easier to correct before an audit than during one.
Healthcare is our primary focus, but the same disciplined approach to compliance and business consulting applies to other regulated and fast-growing industries. Reach out and we’ll let you know how we can help.
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Occasional notes on Medicare, Medicaid, and regulatory changes that matter to your business — no more, no less.