Sheba Vine, JD, CPCO, talks about Qualifying Events that Trigger COBRA Benefits. COBRA is a federal law and is short for the Consolidated Omnibus Budget Reconciliation Act of 1985. COBRA applies to employers with 20 or more employees that offer group health plans. COBRA provides the right to continue coverage in an employer
Preventing identity theft continues to be a major focus of the Social Security Administration and the Center of Medicare and Medicaid Services (CMS). Beginning April 2018, Medicare cards will no longer contain Social Security Numbers (SSN) as part of the Social Security Number Initiative (SSNI) and Medicare Access and CHIP Reauthorization Act (MACRA). Instead, Medicare
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.
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
Join us in celebrating the International Day of Radiology and Radiologic Technology Week! Check out this week's infographic to get some basics on radiation safety.
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,
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