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Q&A: Payor Disputes and Audits: Observations & Strategies

Courtney Tito, Esq., Member of McDonald Hopkins, LLC presented the webinar “Payor Disputes and Audits: Observations & Strategies” recently and a recording can now be found on our YouTube Channel. Courtney returned to answer many commonly asked questions on our blog. Can you provide a brief overview of the Medicare appeals process for overpayment demands?

By |October 16th, 2019|CMS, Medicare|

Joint Commission and the Value of Accreditation

Around the world accreditation is used to assure a high baseline level of healthcare quality. In the United States, accreditation is a multi-million-dollar industry without any sign of slowing down because it’s compulsory for federal payments and a marketing necessity in an increasingly competitive landscape. It’s no secret that healthcare organizations in the United States

Fire & Life Safety Compliance: Trends & Topics in Health Care Facilities

Catherine Short talks with Stan Szpytek, President of Fire and Life Safety, Inc. about “Fire & Life Safety Compliance: Trends & Topics in Health Care Facilities.” On this episode, new requirements, trends and best practices will be reviewed to help providers understand the critical importance of a safe and compliant environment of care. We will

Fire & Life Safety Compliance in Health Care Facilities

First Healthcare Compliance hosts Stan Szpytek, President of Fire and Life Safety, Inc, for an interactive discussion on “Fire & Life Safety Compliance in Health Care Facilities.” Mr. Szpytek will offer a vital webinar on Fire & Life Safety Compliance in health care facilities with focus on NFPA 101, The Life Safety Code (2012) and

Q&A: CERT Findings and Proper Monitoring

Pam Joslin, MM, CMC, CMIS, CMOM, CMCO, CEMA, CMCA-E/M, CEO, with Innovative Healthcare Consulting, presented the webinar ‘Understand CERT (Comprehensive Error Rate Testing) Findings and What Your Organization Should Be Monitoring.’ Ms. Joslin addressed many common questions and we’ve highlighted the top Q&A.

By |October 18th, 2018|CMS|

CMS Updates Compliance Program Training Requirements for FDRs

Establishing and maintaining a well-designed compliance program is key to preventing, detecting, and mitigating noncompliance. The seven elements of an effective compliance program outlined in the Federal Sentencing Guidelines, adopted by the Office of Inspector General (OIG),  sets the framework but there are additional requirements that need to be integrated into the compliance program in

By |October 11th, 2018|CMS|

Is your practice ready for the new Medicare Beneficiary Identifier?

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

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