Pay for Performance Reimbursement

The concept of pay for performance reimbursement isn’t new; it’s been circling the healthcare industry for over a decade. Yet, studies continue to show that it offers mixed results. In…

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HIPAA Compliance Requirements

HIPAA settlement payments hit an all-time high in 2018 following year-long HIPAA compliance requirements audits conducted by the Department of Health and Human Services Office for Civil Rights. These monetary…

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Outcome Based Reimbursement

Five years ago, most of the provisions of the Affordable Care Act came into play, and one of these provisions added outcome based reimbursement. It is designed to provide incentives…

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Healthcare Revenue Cycle Process

The healthcare revenue cycle process is a non-organic process – non-organic because steps cannot be reversed, skipped or circumvented to save time or collect money faster. Missing or skipping a…

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Starting a Medical Tourism Business

Starting a medical tourism business is not easy, but mounting changes and regulations in western healthcare systems have prompted a boom in medical tourism. In fact, according to a recent…

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OIG Workplan 2019: What’s New!

We are entering the second year of the OIG’s new approach to publicizing and managing its FY18-19 Workplan.  Just like last year, the OIG Workplan 2019 is not a static document. …

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Understanding HIPAA Policies and Procedures

In 1996, Congress enacted the Health Insurance Portability and Accountability Act (HIPAA) primarily to protect individuals and their personal health information (PHI) contained in medical records. HIPAA applies to all…

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HIPAA Compliance Policy and Your EHR

As many organizations have found out the hard way, there is an important relationship between HIPAA compliance policy and your Electronic Medical Records (EHR). Consider these recent headlines: 100 million…

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Value Based Care Reimbursement

A recent Black Book survey found that hospitals and other providers are gearing up to outsource key functions, including a move to outsource revenue cycle management to third-party vendors. Medical…

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