CMS Audits in 2018: Updates Providers Need to Know

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.

How to Prepare for CMS Audits to Mitigate Risk

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.

Getting Ready for New HIPAA Audits

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.

Hospital Revenue Cycle Threatened by Administrative Tasks and More

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 Compliance: What it Costs and How It’s Done

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.

Healthcare Claim Denials on the Rise

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

Hospital Billing Best Practices

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.

Healthcare Cybersecurity Needs Grow as Threat Levels Rise

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.

Healthcare Pricing Transparency Progress Slow

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.

Focusing on Healthcare Audit Management

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

Compliance Management | Analytics | Contract | Audit | Attachment

Protect revenue by understanding and addressing financial risks Request Demo SSI Compliance Management Benefits With SSI Compliance Management, your organization can… Establish proactive strategies to reduce financial risks Minimize lost revenue opportunities...