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…
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…
A Medical Billing Audit can Increase Profitability
A Medical billing audit is often thought of as a defensive measure. A government or private payor has denied or pended a series of claims. Now they want copies of…
HIPAA Requirements – and how to be in compliance
Many articles and blog posts mention HIPAA compliance, but what are HIPAA requirements, and what do you have to do to be compliant? What is the security rule? The privacy…
Strategic Planning in Healthcare – 12 Crucial Questions
Strategic planning in healthcare starts by measuring end goals against your current standing. It examines obstacles that sit between where your healthcare organization is and where it should be. When…
Physician Revenue Cycle Key Indicators of Best Practices
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…