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Blog

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CMS Emergency Preparedness Program

The CMS final rule on Emergency Preparedness Requirements for Medicare and Medicaid Participating Providers is in effect! View our infographic to learn more about the emergency preparedness program and its components.

By |November 30th, 2017|CMS|

Updates to the Quality Payment Program

On November 16, 2017, the Centers for Medicare and Medicaid Services (CMS) is expected to publish the final rule to address updates to the Quality Payment Program (QPP).  The new “Patients Over Paperwork” initiative provides for streamlining with goals of reducing unnecessary burden, increasing efficiencies, and improving the beneficiary experience. This effort emphasizes a commitment

7 Steps for Handling a Patient HIPAA Privacy Complaint

A patient voices a concern of privacy violation because the provider mistakenly emailed her medical treatment information to unrecognized email addresses. Your Notice of Privacy Practices correctly informs the patient of her rights under HIPAA to file a privacy complaint with your organization’s Privacy Officer and the Office of Civil Rights (OCR). As the provider,

By |October 26th, 2017|HIPAA|

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