We recently sat down with K. David Holmes, Consulting Chief Program Officer and Compliance Office for Sunny Days Sunshine Center, a large and prominent development center for children with autism spectrum disorder and other developmental delays, to talk about the...
In today's healthcare landscape, ensuring compliance with the Americans with Disabilities Act (ADA) is crucial to providing inclusive and accessible services for all patients. Individuals with disabilities continue to lack equal access to routine preventative medical...
In the wake of the COVID-19 pandemic, the behavioral health industry finds itself under an intensified magnifying glass, with notable increased interest and activity from the Private Equity community and consolidation in the behavioral health space, it’s no...
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,...