Risk Adjustment (HCC) coding compliance is quickly becoming the forefront of primary care across the nation as value-based care models continue to be implemented within the healthcare industry. With the added administrative burden placed upon providers and...
Back on December 10, 2020, the Department of Health and Human Services (HHS) Office of Civil Rights (OCR) issued the Notice of Proposed Rulemaking (NPRM) with proposed changes to the Privacy Rule. The proposed modifications support individuals’ engagement in their...
I have been actively engaged in healthcare compliance for the last 25 years. Over that time, I have frequently heard the complaint that compliance is a costly nuisance. Why is it so expensive? Is there a way around it? Who pays for this unfunded mandate? I’ll let you...
The last two and a half years have been anything but business as usual for physician practices and healthcare organizations. From scrambling for PPE in the initial stages of the pandemic, to refitting offices and implementing processes to keep patients and staff safe,...
Consolidation in healthcare is causing a lot of disruption and increasing Private Equity investment in the healthcare services space. Industry experts highlighted several disruptors facing the industry and shared insights to the future landscape that are key,...
These are recaps of what they report as some of the trends and realities of compliance today
When it comes to payer contracting, there are some key provisions that you must take seriously. In the past, there were only a few contract elements that were of interest to the provider or practice leadership: fee schedule with carve outs, timely payment of claims,...
Workplace violence has been at the forefront of news reports lately and violence against healthcare workers has risen over the past several years. It’s a topic that is sometimes overlooked and can only be eradicated through conversation, education, and solid safety...
The exchange or release of health information is essential to the provision of high quality and cost-effective health care. The information released should be within the scope of the request, complete based on the nature of the request and submitted timely. This...
Historically, OSHA has been stable in their physician regulations, but the COVID era altered that equation. OSHA had been relatively quiet through the pandemic, letting the CDC do most of the heavy lifting, but since practices opened back up in May 2020 there has been...