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…

Read the full article

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…

Read the full article

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…

Read the full article

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…

Read the full article

Posted and filed under Community, Healthcare.

CMS Offers Aid to Hurricane Maria Victims

Seema Verma, administrator of The Centers for Medicare & Medicaid Services announced earlier this week that the organization would be stepping up to help Puerto Rico and the U.S. Virgin Islands after Hurricane Maria’s reign of destruction. Health and Human Services has already declared public health emergencies in these affected territories, eliciting help from a…

Read the full article

Posted and filed under Cybersecurity, Healthcare, Technology.

Cover Your (Data) Bases: Recap

Late last month, Advize Health’s Managing Director, Jeanmarie Loria teamed up with Regine Bonneau of RB Advisory LLC to deliver a presentation on IT Inventory and standard security measures. This webinar was free to all attendees and included a discussion on the importance of IT Inventory, and the technologies available to help organizations maintain their…

Read the full article

Posted and filed under Business, Healthcare, Payers.

Value-Based Purchasing Still Perplexing Providers

Providers are still struggling to align with payers in the transition to value-based purchasing. Value-based purchasing is used to measure, report, and reward excellence in health care delivery. To properly incentivize high-quality care, value-based purchasing requires the cooperation of employer purchasers, public sector purchasers, health plans, and providers who are all tasked with assessing care…

Read the full article

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

Pre-Litigation Considerations

Law firms have been known to enlist the help of a third-party when dealing with healthcare fraud cases. This is because in addition to investigating the allegations against one party, there is a myriad of additional pre-litigation considerations. In multi-faceted cases in which health plan overpayments are being pursued within the judicial system an audit…

Read the full article

Posted and filed under Compliance, Cybersecurity, Healthcare.

HITRUST FAQ

Q: Just what is HITRUST anyway? A: HITRUST is a common security framework (CSF) created and governed by the HITRUST Alliance, a privately held U.S. company made up of leaders from healthcare, technology, and information security. The framework is comprised of several prescriptive security controls that can be assessed to determine the level of information…

Read the full article

Posted and filed under Compliance, Healthcare.

Pennsylvania Examines Breadth of Peer Review Protection Act

On December 13, 2012, a newborn was delivered via C-section by a physician at the Scranton Quincy Hospital Company LLC. Despite the surgical means of delivery, the child suffered an acute hypoxic ischemic brain injury (P91.60) that ultimately resulted in permanent disability. The parents of the child decided to take legal action against the obstetrician…

Read the full article