Category Archives: RESOURCES

Healthcare compliance resources, helpful links and information sources.

Taming EHR: 7 Tips to Reduce Time

Many physicians complain that electronic health records are time-consuming and that performing EHR tasks cuts into the time they have to spend with patients. And there’s data to back that up. Physicians spend roughly half (49.2%) of their work day … Continue reading

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Medicaid Program Integrity Responsibilities

Click on the Link Below to see CMS’ Medicaid Program Integrity Responsibilities Link: https://www.cms.gov/Medicare-Medicaid-Coordination/Fraud-Prevention/Medicaid-Integrity-Education/Downloads/key-messages-My-Responsibilities-%5BJune-2016%5D.pdf?linkId=25071512

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6 Strategies for Weathering Turbulent Times and Executive Shake-ups

n 2012, Arthur Gonzalez took over as CEO of Denver Health Medical Center. Since then, at least five hospital leaders have left voluntarily, including the hospital’s chiefs of medicine and surgery. “For any organization, turnover like that is a red … Continue reading

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HIPAA Privacy, Security, and Breach Notification Audit Program

As a part of our continued efforts to assess compliance with the HIPAA Privacy, Security and Breach Notification Rules, the HHS Office for Civil Rights (OCR) has begun its next phase of audits of covered entities and their business associates. … Continue reading

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OIG Exclusions – Frequently Asked Questions

Exclusions FAQ – Answers to Questions Concerning Exclusions What is the List of Excluded Individuals/Entities (LEIE)? OIG’s List of Excluded Individuals/Entities (LEIE) provides information to the health care industry, patients and the public regarding individuals and entities currently excluded from … Continue reading

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Employee Hotline Best Practices

According to the CDC, in 1965 more than forty percent of the U.S. population smoked.  After decades of persistent education, the general population has come to realize that best practices include healthy decisions; decisions that increase well-being and reduce expenses.  … Continue reading

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CMS Acronym’s

Acronym Library MED-ED Medical Education MEDAL Medicare/Medicaid Eligibility Data Linkage MEDB Manage the EDB System MEDB Medicare Part B MEDIBAPS Medicare Budget Allocation Process System Click here for more CMS Acronym’s: http://www.cms.gov/apps/acronyms/

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How to Build an Ineffective Compliance Program

With healthcare compliance requirements running at a fevered pace and whistleblower activities on an exponential rise, we thought it might be a good time to articulate some of the tried-and-true methods of building an ineffective compliance program. — Don’t implement … Continue reading

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The Role of Medicare Advantage

This Visualizing Health Policy provides a snapshot of the role of the Medicare Advantage plans, an alternative to traditional Medicare, including information about the proportion of Medicare beneficiaries who are enrolled in Medicare Advantage, geographic differences in Medicare Advantage penetration, … Continue reading

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Mandatory Exclustion Database Checks – Are You Performing Them?

If you are not performing the mandatory exclusion database checks on your employees, see below for the cost associated with violating the Civil Monetary Penalties Law. 04-24-2014  – After it self-disclosed conduct to OIG, Immediate Homecare, Inc. d/b/a Immediate Homecare … Continue reading

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