Posted and filed under Healthcare.

Should Doctors Ask Patients About Gun Ownership?

A recent anti-Rick Scott television ad has been causing controversy and sparking some intense conversation in the wake of the Parkland, FL tragedy. The advertisement, which recently went into circulation discusses Parkland, the Orlando nightclub shooting, and the Ft. Lauderdale events targets Rick Scott for his involvement in legislation that prevented care providers, including mental…

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Posted and filed under Healthcare.

The High Cost of Healthcare

The United States spends $3.2 trillion on healthcare each year, more than any other country in the world. Dr. Sanjay Gupta, CNN’s Chief Medical Correspondent, was recently featured in a CNN Health video that explains why healthcare in the United States is so costly. His high-level analysis of the ecosystem broke healthcare costs into these…

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Posted and filed under Coding, Compliance, Cybersecurity, Fraud, FWA, Healthcare.

Your Data Will Be Stolen

This article is a continuation of Risky Retrievals. Walk-Ins Welcome Our medical record specialists are required to arrive at each facility with their equipment, as well as their ID badges and driver’s licenses. This is to ensure that their identities can be verified by office staff and reporting in the event of an incident. What…

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Posted and filed under Compliance, Fraud, FWA, Healthcare, Medical Record Auditing.

Risky Retrievals

For years, whenever we began launching a medical record review project, clients and physicians alike would ask us the same question: Why can’t you come onsite to pick up the requested records? The easy answer would have been to say that we simply hadn’t performed record retrievals before, but we had vested interest in doing…

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Posted and filed under Compliance, Healthcare, Payers.

The Road to Compliance

The road to compliance is long and bumpy, but a trip we must all take in 2018. In January 2017, compliance professionals from the Department of Health and Human Services (HHS), Office of Inspector General (OIG) held an assembly in which they discussed how to measure the efficacy of Compliance Programs. From this roundtable came…

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Posted and filed under Healthcare, Payers.

Is This The End of CHIP?

The Children’s Health Insurance Program (CHIP) is a program that has managed to gain (mostly) bipartisan support, as it provides low-cost healthcare to children in families that earn too much money to qualify for Medicaid; but its days may be numbered.  The funding for CHIP ended on September 30th, 2017…and unfortunately, Congress has not yet…

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Posted and filed under Compliance, Healthcare.

Is OurNotes the Future of Documentation?

OurNotes is the name of an experimental, collaborative approach to clinical documentation that encourages providers and patients to co-produce medical notes. Researchers at the University of California, Los Angeles (UCLA) suggest that this kind of participation in the healthcare life cycle will improve overall engagement for patients, while freeing up time for their physicians. Taking…

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Posted and filed under Compliance, Healthcare, Payers.

HHS Retracts Support For Financial Assistance Charity

In an unexpected, albeit responsible move, Health and Human Services has retracted their support for a Patient Assistance Program. The Caring Voice Coalition (CVC) is a patient assistance charity that provides financial support to Medicare beneficiaries and other patients. Found in 2003 with seemingly noble intentions, the CVC was founded in 2003 to support patients…

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Posted and filed under Compliance, Fraud, FWA, Healthcare.

Examining The Fraud Triangle

Federal healthcare fraud recoveries totaled upwards of $2B in the first half 2017’s fiscal year. This staggering sum is proof enough that healthcare fraud is here to stay as an unfortunate reality of the industry. Providers, patients, and insurers alike have all been complicit in various scams and schemes – which brings to mind the…

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Posted and filed under Community, Events, Healthcare.

Guide to NHCAA 2017 Meeting Spots in Orlando FL

This week, from November 14th to the 17th, Orlando’s Rosen Shingle Creek will be the epicenter of healthcare fraud’s biggest conference, NHCAA’s Annual Training Conference. ATC will undoubtedly unveil some incredible thought leadership and innovation – but is it the right place to build a last business relationship? Conferences have a proven track record of…

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