Physician revenue cycle operations continue to transform fundamental aspects of modern medical practice. The current unsustainable system drafts individual elements of the revenue cycle in search of success, often ignoring…
What is Value Based Reimbursement Looking Like in 2019?
Change is a constant in the healthcare industry, and for all healthcare providers submitting claims to Medicare it’s important to carefully review your processes based on what’s to come with…
Mayo Clinic handled this crisis of scrutiny through social media!
The Mayo Clinic was recently a target of inaccurate and incomplete reporting by CNN, and while debates of libel, freedom of speech, privacy, and contradictory information will most certainly continue,…
Hospital Revenue Cycle Best Practices for Profitability
Hospital revenue cycle management inefficiencies cost providers millions each year in lost income, and this is a single provider (and on average) estimate. When you examine hospitals collectively, this figure…
Healthcare Revenue Cycle Management Automation
Healthcare revenue cycle management needs to be automated! Revving up the revenue cycle or optimizing cash flow by cutting down on the time between patient-related services and monetary collections is…
Outsourced Chief Compliance Officer for Hospitals
For many healthcare organizations, especially smaller or rural hospitals, resources are scarce. Outsourcing can often be beneficial for hospitals. An effective approach in this situation is to outsource the management…
Value Based Reimbursement – Are you prepared?
Is value based reimbursement replacing Fee-for-Service (FFS)? FFS has been the standard in patient care for decades. The focus on revenue cycle best practices was and will continue to be…
Why Healthcare Organizations need a HIPAA GAP Analysis
A HIPAA gap analysis, according to the U.S. Department of Health and Human Services (HHS) is “typically a narrowed examination of a covered entity or business associate’s enterprise to assess…
Effective Corporate Compliance Program Checklist
An effective Corporate Compliance Program in healthcare is a critical necessity! Corporate compliance professionals spend a lot of their time assessing the performance of other people in their hospital or…
A Comprehensive HIPAA Risk Analysis in 7 Steps
Still not convinced a HIPAA Risk Analysis is not optional? Here are a couple of historical headlines: Oregon Health & Science University (OHSU) has agreed to settle potential violations of…
Is this a HIPAA Privacy Violation? 5 Questions from the Workplace
Is this a HIPAA privacy violation? Not too surprisingly, the questions never end! In just over three months in 2018, we have received over 12 specific questions about HIPAA privacy. …
OIG Work Plan FY 2018-2019 and Monthly Updates
The OIG advertised that they have published its OIG Work Plan for FY 2018-2019, a 2-year frame-work for the audits, inspections, evaluations, and investigative activities planned in support of OIG’s…
MIPS, are you ready? The Merit-based Incentive Payment System.
As mentioned in a previous blog, MACRA combines parts of the Physician Quality Reporting System (PQRS), Value-based Payment Modifier (VBM), and the Medicare Electronic Health Record (EHR) incentive program into…
Crisis Communication and Social Media in Healthcare
Allen Gingsburg once said that whoever controls the media, the images, controls the culture. Healthcare related crisis communication and social media are intensely connected! Take a deep breath to comprehend…
Stark Regulations for Physicians New and Old
CMS made several changes to the Stark regulations for physicians in 2016, including some useful clarifications. Now there are some court decisions which further clarify the expectations of the Stark…
HIPAA Compliance Checklist and Employee Sanctions
A HIPAA compliance checklist is the tool to turn to when imposing sanctions on employees for HIPAA privacy breaches. It may feel like a never-ending and thankless task, but consider…
HIPAA Compliance for Dental Offices
HIPAA Compliance for Dental Offices now stand in parallel with medical organizations in terms of having access to Protected Health Information (PHI). Meaning they must adhere to the same level…
Acquisition of Physician Practices – Legal Observation
Acquisition of physician practices are on the rise! Hospitals acquired 31,000 physician practices across every region of the country between 2012-2015 making the number of employed physicians increase from 95,000…
How to Start a Medical Practice – it’s a business, too!
How to start a medical practice . . . . When I was being interviewed for an article about billing and accounts receivable recently for Dermatology World magazine, I was…
HIPAA Violation and Hospital Employee viewing PHI
HIPAA Violation rocks hospital! An employee at St. Charles Health system accessed over 2400 patients’ medical records over a two-year period because they were curious. We all know that curiosity…
