AIHC

SEPTEMBER 5, 2023

This article is not intended as legal or consulting advice. If your practice is currently using a telebehavioral health approach for patient treatment, or if you organization is considering implementing this approach, we hope this article will give some food-for-thought on the topic. This is also called “store-and-forward telemedicine.”

COVID-19 59

COVID-19 Telemedicine Compliance Informed Consent 59

YouCompli

OCTOBER 26, 2022

The net of it is this: Our Compliance Department performed a compliance audit related to sleep studies that resulted in a significant payback to the federal government that could have been avoided if monitoring was being performed by the Sleep Center Clinical leadership. That’s a 41% error rate with an extrapolated overpayment of?$269

Compliance 52

Compliance Compliance Officers Overpayments Overpayment 52

YouCompli

SEPTEMBER 27, 2023

Enforcement agencies like to “follow the money,” so to speak, and they often find it in medical claims submitted to government payors such as Medicare and Medicaid. Since claims are submitted electronically, Medicare and others use a system of claims edits to avoid paying claims inappropriately.

Compliance 52

Compliance Medicare Medicare Overpayments 52

AIHC

MARCH 28, 2022

Written by: AIHC Blogger This article provides educational information related to fighting unreasonable denials by working through a complex payer appeals process. This information is not all-inclusive and the article is a truncated version of Lesson 3 from our Certified Outpatient Clinical Appeals Specialist (COCAS SM ) training program.

Medicare 52

Medicare Medicare Compliance Governance 52

Hall Render

JANUARY 19, 2024

NATIONAL 13 major health systems partner with high schools in $250M Bloomberg initiative Acute Hospital Care at Home data released AI can help identify social determinants of health American Hospital Association Sues Over Updated HIPAA Guidance Bill aims to push price transparency to ASCs Billing for patient messages to clinicians is increasing, study (..)

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

HIPAA Journal

MARCH 30, 2022

Articles discussing the 3 major things addressed in the HIPAA law often tend to focus on the Administrative, Physical, and Technical Safeguards of the Security Rule. However, when HIPAA was passed, the standards governing health care data, patients´ rights, and the flow of information were still several years away.

HIPAA 119

HIPAA Fraud Health Insurance Health Care Reform 119

HIT Consultant

MARCH 1, 2022

In Ohio, unemployment overpayments reached $3.86 billion on their MES and eligibility and enrollment systems, according to a 2020 report by the Government Accountability Office (GAO). Centers for Medicare and Medicaid Services (CMS) reimbursed states $34.3 billion during the pandemic. billion of that amount.

Medicaid 52

Medicaid Medicaid Overpayments Overpayment 52