The Centers for Medicare and Medicaid Services (CMS) are already sending out their letters for the 2018 audits. Find out what changes have been made from the 2017 protocols and how physicians can expect a less punitive approach from CMS regarding Medicare billing.
Medical providers need to stay current on the latest updates and know what type of audits to expect and when. Join us as we review the latest news surrounding CMS audits and review the best tips you can take to be prepared.
HIPAA Audits being stepped up: In coming months, on-site audits will be much more thorough and will look much deeper into organizations’ compliance programs. Not only will covered entities be required to show auditors documentation demonstrating compliance with HIPAA Rules, OCR will be looking for evidence of HIPAA in action.
With the Centers for Medicare & Medicaid Services (CMS) are aiming to clean up billions of dollars in over payments and audits looming, we take a look at ways to prepare and efficiently handle audit requests and processing.
In addition to the mounting reporting administrative tasks on providers, other hospital revenue cycle management challenges threaten financial health include billing disputes and prolonged A/R days. Learn what hospitals can do to improve clean claims rates, get paid faster, and mitigate the risk of legal actions.
Healthcare organizations have a mounting responsibility when it comes to regulatory compliance. However, is adherence taking up valuable patient time? Furthermore, what does this concerted effort cost? Sources reveal answers to these questions.
Why do payers continue to deny 20% of claims payments to hospitals as they struggle to keep revenue cycles more profitable? Baby boomers are moving into their Medicare coverage phase. There are flaws in the Office of the Inspector General audits of hospitals, as alleged by the American Hospital Association. Regulations are increasing. We take a look at the current situation and some creative solutions
As healthcare mergers and acquisitions continue at an alarming rate, it may come as no surprise that Aetna has a major corporation interested in buying them. However, which company that is comes as a shock to many.
When it comes to hospital billing best practices, we discovered a lot of documentation about common errors and also some helpful advice on how to avoid them.
Since the adoption of electronic health records (EHRs) and computerized-physician order entry (CPOE) – practically every single healthcare delivery system in the United States is running on an electronic system. Learn how cybersecurity is affected in the sea of technology, and what healthcare organizations should do to protect sensitive data.
Does your hospital offer transparent pricing estimates for prospective patients? Some leading hospitals are already doing this and at some state websites you can compare average costs for procedures at facilities across the state. However, these are the exceptions, so we take another look at what’s going on in the national drive to achieve healthcare pricing transparency.
What should your hospital team focus on when it comes to auditing for services, fraud, coding and cyber security? When it comes to healthcare, the solution boils down to what you will benchmark, training, and the best methods for efficiency in your organization. A lot of industry leaders share the idea that audits are the best start toward better compliance management these days
Healthcare Providers: Proactively manage and maximize every stage of the revenue cycle. SSI enables you to protect your revenue by identifying your most critical revenue cycle threats.