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Payor Disputes and Audits: Observations & Strategies

Catherine Short speaks with Courtney Tito, Esq., Member of the Health Law group at McDonald Hopkins, LLC in its West Palm Beach office about “Payor Disputes and Audits: Observations & Strategies.” Our discussion will help listeners better understand the payor audit process and prepare the organization to respond. We will talk about the payor audit process from the government perspective and compare and contrast typical government audits with typical commercial audits. Finally, we will identify some best practices that providers can implement now to prepare for payor audits.

New HHS Rules, PHI, and Health Apps in the Age of COVID-19

Catherine Short converses with Rachel V. Rose, JD, MBA, principal with Rachel V. Rose – Attorney at Law, P.L.L.C., Houston, TX, on the topic of “New HHS Rules, PHI, and Health Apps in the Age of COVID-19.” On March 9, 2020, HHS announced the promulgation of two final rules - the ONC Final Rule and

Hardware Hacking: The Overlooked CyberCrime. Is Your Data Safe?

Catherine Short speaks with John Shegerian Cofounder and Executive Chairman of ERI the largest fully integrated IT and electronics asset disposition provider and cybersecurity-focused hardware destruction company in the United States. Today, we are discussing “Hardware Hacking: The Overlooked CyberCrime. Is Your Data Safe?” Today, the recycling of electronics in the healthcare sector faces a

Q&A: MIPS Reporting – The Importance of Selecting the Right Reporting Methodology

Sarah Reiter, MIPS expert, Vice President of Strategic Partnerships with Health eFilings presented the webinar “How to Manage the Challenges of MIPS Reporting” recently and a recording can now be found on our YouTube Channel. Sarah returned with this helpful blog on the importance of the correct reporting methodology as the year comes to a

Are you trying to prevent medical identity theft?

Medical identity theft continues to be major problem in the US with approximately 2.32 million adults or close family members falling victim in 2014. According to the Fifth Annual Study on Medical Identity Theft by the Ponemon Institute, medical identity theft is on the rise with a 21.7% increase since last year.      

Protecting Your Practice is Smart Business

Doctors playing defense The government cites defensive medicine as a factor in the escalation of health care costs. However, a recent study indicates that 73% of physicians engage in some form of defensive medicine. The payers’ perception of defensive medicine is negative, but the providers’ view it as a necessary evil in today’s environment. Medical

Long Overdue Final Rule on Sunshine Act Announced

The physician payment sunshine provisions of the Affordable Care Act have been issued with the intent of reducing potential conflicts of interest. The relationships of physicians and manufacturers are under focus. On February 1, 2013 CMS released the final rule that will increase transparency of relationships between doctors and industry. Data collection will begin on