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Appropriate Use Criteria: What you Need to Know

Catherine Short speaks with Melody Mulaik, President of Revenue Cycle Coding Strategies to address a current hot topic, “Appropriate Use Criteria: What you Need to Know.” 2021 is also going to be an official CMS testing year for AUC/CDS implementation. This episode will identify specific areas of concern for your organization regarding AUC/CDS implementation, help you to facilitate discussions with all stakeholders to ensure all perspectives are heard and addressed, and assist in designing actions that can be taken to facilitate a successful implementation to ensure revenue is not negatively impacted. 

Catherine Short
access, Billing, CMS, Coronavirus, COVID-19, General Compliance, ICD-10, ICD-10-PCS, Podcasts, Protected health information
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Performance Improvement Plan

Is Your Compliance Program Effective?

Having a compliance program in place is a start but having an effective compliance program is the goal. Proactively assessing the effectiveness of one’s own compliance program is better than…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Anti-Kickback Statute, Audit Zone, Blog, Breach, compliance program, Corporate Integrity Agreement, Dashboard Zone, DOJ, effective compliance program, Employee Zone, FCA, Fraud, Healthcare, HIPAA, HIPAA Zone, ICD-10, Individual Accountability, LEIE, OSHA, OSHA Zone, physician self-referral law, Quarterly Zone, Stark Law, Uncategorized, Whistleblower, Wrongdoing
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OIG WORKPLAN 2016

The Office of the Inspector General (OIG) is responsible for protecting the integrity of the programs in Health and Human Services against fraud, waste and abuse as well as recommending…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, ACA, Affordable Care Act, Anti-Kickback Statute, Audit Zone, Blog, Breach, Business Associate, CMS, compliance program, Corporate Integrity Agreement, Covered Entity, false claims act, Fraud, HHS, HIPAA, HIPAA Zone, HITECH, ICD-10, Imaging, Medicare, Medicare Rules, OCR, OIG, OIG Work Plan, Overutilizaton, PHI, physician self-referral law, Quarterly Zone, self-disclosure, Stark Law, Waste, Whistleblower
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Healthcare Compliance -Claims and Procedures

Billing Care Plan Oversight Risks

Care Plan Oversight describes the physician or other healthcare professional’s supervision of patients in hospice, nursing facilities or those receiving care through home health agencies. CPO reimbursement covers initial certification,…
First Healthcare Compliance Staff
1st Healthcare Compliance, Abuse, Audit Zone, Blog, Care Plan Oversight, CMS, false claims act, FCA, Fraud, ICD-10, Medicare, Medicare Rules, physician self-referral law, Uncategorized, Waste
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