YouCompli

AUGUST 22, 2023

She said, “The expansion of managed care, especially over the last decade, has come with growing pains that have strained program integrity and highlighted compliance weaknesses. OIG’s audits, evaluations, and investigations have demonstrated that risks of fraud, waste, and abuse in managed care are real and significant.”

Medicare 52

Medicare Medicare US Department of Health and Human Services Compliance 52

Provider Trust

MAY 17, 2022

Vendors, suppliers, and third-party contractors (often collectively referred to as “vendors”) are an integral part of the healthcare ecosystem. So what does that mean for your healthcare organization’s compliance program? What is considered a healthcare vendor? What is considered a healthcare vendor?

Compliance 52

Compliance Medicare Medicare Due Diligence 52

Provider Trust

JULY 25, 2022

The Special Advisory Bulletin states that “no Federal healthcare program payment may be made for any items or services furnished (1) by an excluded person or (2) at the medical direction or on the prescription of an excluded person.” So what can your organization do to avoid liability and more effectively monitor your providers?

Electronic Medical Records 52

Electronic Medical Records Licensing Medicare Medicare 52

Medisys Compliance

DECEMBER 20, 2022

It’s a known fact that patient financial responsibility and out-of-pocket expenses are on the higher side in the healthcare sector. On a similar note, it goes without saying that patient satisfaction will be impacted by the medical billing services. Do you also provide services for credentialing?

Medical Billing Services 98

Medical Billing Services Medical Billing Medical Billing Outsourcing Patient Satisfaction 98

MedTrainer

AUGUST 2, 2023

Information integrity is paramount in the world of healthcare. When that happens, healthcare organizations need to know why. Auditing helps healthcare organizations maintain accurate and appropriate documentation, optimize revenue, minimize compliance risks, and improve overall operational efficiency.

Compliance 52

Compliance ACA Medicaid Medicaid 52

Healthcare Law Blog

JANUARY 10, 2023

Morgan Healthcare Conference by Sanjay Doddamani (CEO of UpStream Healthcare) saying that “ Health is a state of independence.” Our healthcare system is a strange and somewhat uncomfortable mix of dependence and independence (some would call the latter fragmentation, rather than independence).

Medicare 59

Medicare Medicare Doctors Medicaid 59

Healthcare Law Blog

JANUARY 10, 2022

On January 6, 2022 , the Centers for Medicare and Medicaid Services (“CMS”) issued the proposed rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Proposed Rule”). Key provisions of the Proposed Rule are summarized below. Comments are due by March 7, 2022.

Medicare 98

Medicare Medicare COVID-19 Medicaid 98