Compliance in Small Bites
Your trusted source for digestible insights into healthcare compliance.
With over 40 years of healthcare consulting experience, we bring specialized expertise in regulatory compliance, clinical documentation standards, and telehealth program oversight. This newsletter delivers practical, bite-sized guidance tailored for small to mid-sized healthcare organizations navigating the complexities of Medicaid and Medicare reimbursement.
Each weekly (often multiple issues each week) issue features actionable strategies, coding tips, and updates on encounter coding for primary care, behavioral health, substance use disorder outpatient treatment, OTP, and intensive outpatient programs—designed to help you optimize reimbursement and maintain financial viability in today’s evolving healthcare landscape.
Each RAQ (Recently Asked Questions) quarterly issue is tailored to your state’s Medicaid services, if applicable.
Stay informed. Stay compliant. One bite at a time.
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Small Bites
Our most recent Compliance in Small Bites issues. Download as many as you want.
Interviewing Techniques for Detecting Fraud in Healthcare Organizations
8.13.2025
This Small Bite explores the critical role of interviewing in fraud detection within healthcare organizations. By leveraging structured questioning methods, behavioral analysis, and documentation review, investigators can uncover discrepancies and fraudulent activities.
This text outlines key techniques, ethical considerations, and best practices for conducting effective fraud detection interviews.
Introduction: Healthcare fraud is a pervasive issue that affects both public and private healthcare systems, leading to financial losses, compromised patient care, and legal consequences. Fraudulent
activities in healthcare typically involve deliberate deception for financial gain, including billing schemes, falsified medical records, and kickbacks.
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Tips for Hurdling Outpatient Coding Obstacles
8.15.2025
In today’s healthcare economy, outpatient coding has become a make-or-break function for your revenue cycle. With value-based care, regulatory shifts, and rapid tech changes, you’re navigating a complex web of requirements while still trying to maintain accuracy and productivity. The outpatient setting adds to the pressure with higher volumes, quicker turnaround times, and a broad mix of services — from ED visits to same-day surgeries.
This Small Bite breaks down eight of the biggest outpatient coding challenges in 2025 and delivers data-backed strategies to help you overcome them.
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RAQ's
Recently Asked Questions
August 2025
Coming Soon
Billing Same Day Services in O/P Behavioral Health & SUD
Coming 8.22.2025