Healthcare compliance management covers a broad range of topics including HIPAA, OSHA, enforcement of regulations related to fraud, waste and abuse and employment laws. It’s likely that you encounter at least some of these common areas of confusion if you are a healthcare executive. Please take a few minutes to test your knowledge with our
Insufficient documentation is by far the most common reason for denying a claim or improperly paying a claim. Improperly paid claims become problematic after identification by the Center for Medicare and Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT), a random sampling of claims evaluated for compliance with Medicare coverage, coding and billing rules.
Are you planning to participate in MIPS? Take a look at our infographic to learn more about how it might impact your reimbursement.
It’s no secret that healthcare is one of America’s most heavily regulated industries with substantial fines and penalties for non-compliance. Complex regulations and mandates make compliance management a necessity. However, executives responsible for compliance never seem to have enough time as they are tasked with managing multiple projects and working on competing priorities within an
Do not wait to electronically submit your organization’s 2016 OSHA 300A Summary of Work Related Illness and Injury form. OSHA’s long anticipated secure electronic submission website is currently live with a new submission deadline of December 1st, 2017. The size and type of your establishment will determine if you must submit the OSHA 300A form
Healthcare workers have been a great resource during the emergency response to Hurricane Harvey. When disaster strikes it's important to take precautions for individuals serving in this role. View our infographic for helpful tips.
Healthcare providers have enough documentation to keep track of when it comes to patients and their medical records. But retaining employment related documents is equally important. There are various laws that govern recordkeeping. To complicate matters retention periods are not uniform and vary depending on the type of document. Use the following table to navigate
Even though the largest healthcare fraud takedown in history occurred in July, 2017, QPP, MACRA, MIPS and APMs continue to dominate the compliance conversation. Confusion and discontent are present as providers and managers struggle to make decisions regarding their approach to regulations that will determine the amount of their future Medicare reimbursements. Results of a
First Healthcare Compliance hosted an educational webinar, “Risk Management Considerations with Prescription Drug Abuse” with Mike Midgley RN, JD, MPH, CPHRM, DFASHRM. Click here to view the webinar. For prescribers, dispensers and their employees, Mike provides answers to some commonly asked questions regarding risks related to prescription drugs. Q: What is the best way
A patient sends an email using their Gmail account discussing medical information. As the provider, you have no reason to believe that the email is secure so how do you respond? By taking reasonable safeguards you can transmit ePHI, if necessary, and avoid a potential HIPAA breach situation. The Department of Health and Human Services