Blog

In today’s healthcare environment, there is increasing pressure to cut costs and it is more important than ever to find ways to quickly and efficiently identify coding and billing issues. Amidst a time of shrinking operating margins and heightened scrutiny by federal healthcare contractors, providers are seeking to focus on the benefits of technology-driven internal auditing. Learn more about how to stay ahead of payer audits by mining your own data from your claims to identify areas of risk and proactively fix potential issues.

1st Talk Compliance features guest Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., on the topic “DMEPOS – In Compliance with CMS.” Rachel joins our host Catherine Short to discuss special payment rules associated with durable medical equipment, prosthetics, orthotics and supplies. DMEPOS products must meet quality standards, suppliers need to be accepted by Medicare to participate, similar to providers, and are subject to fraud, waste, and abuse laws. This episode will provide an overview of participation and quality requirements, relay the latest compliance and requirements updates, and discuss the consequences of non-compliance, as well as submitting false and fraudulent claims. 

Adapted from First Healthcare Compliance’s presentation with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., HIPAA and Health Apps, this infographic is a concise focus on the best steps to mitigate risk when dealing with sensitive protected health information (PHI). 

Adapted from First Healthcare Compliance’s presentation with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., "HIPAA and Health Apps,” this infographic is a concise focus on the best steps to mitigate risk when dealing with sensitive protected health information (PHI).

The Centers for Medicare and Medicaid Services (CMS) have created over 50 new C-codes (C7500–C7555) for Ambulatory Surgical Centers (ASCs) that affect many procedures. These codes were created to allow additional payment for packaged services for ASCs. This article highlights the new C-codes that affect Cardiology, Interventional Radiology and Electrophysiology.