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Blog

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Avoid Denials and Mitigate Risk Under the CMS CERT Program

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.  

By |October 5th, 2017|CMS|

5 Time Savvy Tips for Compliance Officers

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

Tips for Submitting OSHA Form 300A by the Deadline!

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

By |September 7th, 2017|OSHA|

3 Common Misconceptions about MIPS

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

Webinar Q and A: Opioid Prescription Drug Abuse

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