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New DOJ Guidance on Compliance Programs Released March 2023 

YouCompli

Incentives, Compensation Structures, and Consequence Management for Healthcare Compliance A new document from the Department of Justice (DOJ) will give you reason to revisit some of your healthcare compliance benchmarks. These topics are incentives within healthcare compliance as well as compensation structure and consequence management.

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RCM: Fixing the Old and Adjusting to the New

Healthcare IT Today

Revenue Cycle Management (RCM) is like a one of those huge Lego sculptures. Below is what they had to share on this topic! When done right, revenue integrity management supports the delivery of high-quality care, enabling providers to reinvest in staff, infrastructure, and technology, and ultimately improve patient outcomes.

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2024: The Year of Smarter Automation and AI in Healthcare Revenue Cycle

HIT Consultant

It was the topic of countless articles, reports and even court cases. The problem is that too often financial leaders make assumptions about where the shortfalls or problem areas exist and either make uninformed technology investments or throw more bodies at problems. so the claim flows smoothly through the revenue cycle.

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Can Medical Billing Outsourcing Help Providers In 2023?

Medisys Compliance

Physicians outsource medical billing for one major reason: it takes a lot of time to manage billing internally due to U.S. You have the option to expand into additional international markets and gain access to high-quality resources from all over the world. Offshoring is a common topic of conversation everywhere.

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What Is a Red Flag in Healthcare Compliance?

MedTrainer

Suspicious Relationships: New or uncommon relationships or financial arrangements between healthcare providers and suppliers could indicate kickbacks or referrals for financial gain, which are red flags. Maybe infection control procedures aren’t being followed or employees need a bit more training on certain topics.

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Iowa Long-Term Care Law Update: Changes to Nursing Home Change of Ownership Process

Hall Render

Information on the financial suitability to operate a nursing facility, including financial projections for operational expenses and revenues, such as realistic occupancy and reimbursement rates and the disclosure of any related party transactions, projected for the first three years of operation.

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OSHA Inspection Survival Strategies

MedTrainer

The stakes are high, with an organization’s financial health, reputation, and overall legitimacy on the line. A summary of incidents is key to accountability and identifying areas for procedural and/or process improvement. Surviving an OSHA inspection is serious business.