By Matt Fisher – Questions often arise as to what terms need to be and should be included in a business associate agreement. The distinction between “need” and “should” is very important. The post To Audit or Not? appeared first on HITECH Answers: Meaningful Use, EHR, HIPAA News.
By April Wilson – Claims denials represent millions of dollars in lost net revenue for hospitals and health systems, with up to 7% of submitted claims being denied in an average hospital on a routine basis. The post Audit Your Revenue Cycle for Claims Denial Issues to Improve Patient Billing Experience appeared first on RCM […]
By Mark Martin – CMS recently issued a report on provider directories that identified three underlying challenges health plans face. In the first blog on this topic, I discussed the issue of contractual versus resource constraints. The post Provider Directories and the Audit Challenge appeared first on RCM Answers.
By Lisa Eramo – Did you know that if your practice received an incentive payment through either the Medicare or Medicaid EHR Incentive Programs, you could be subject to a pre- or post-payment audit? Here’s what you need to know: The post Is Your Practice Ready for a Meaningful Use Audit? appeared first on HITECH […]
By Susanna Partrick – Nearly eight out of ten healthcare internal auditors in a recent survey by PwC believe risks are increasing. As a result, almost nine out of ten say they have gone through or will soon be involved in significant business transformation. The post Driving Audit Productivity and Efficiency: 5 Key Steps appeared […]
By Mike Semel – The Office for Civil Rights announced that the new permanent audit program has started. On July 11 letters were sent BY E-MAIL (check your junk mail folders!) to 167 health plans, health care providers, and health care clearing houses (all HIPAA Covered Entities) notifying them that they have to send in […]
By Bob Grant – The HHS Office for Civil Rights released an updated Audit Protocol that it plans to use while investigating health care entities for HIPAA compliance. The biggest change to the audit protocol is the distinction that OCR has made between what’s required of Business Associates and Covered Entities. The post OCR Releases […]
By Frank Sivilli – The Office of Inspector General of the U.S. Department of Health and Human Services released two reports last week urging the Office of Civil Rights (OCR) to retool its HIPAA enforcement efforts by the start of 2016. The post OCR Plans for Permanent Audit Program Following Phase 2 Audits in 2016 […]
By Elana Zana – At HIMSS15 in Chicago I had the pleasure of speaking with my colleague, Dave Schoolcraft, regarding the OIG Security Audits. These in depth security audits conducted not by the OCR or CMS, but rather the Office of Inspector General, delve into the security systems of Eligible Hospitals (and potentially Eligible Professionals) […]
Sign Up for Our New Digest
Our Streaming Radio Station
HealthcareNOW Radio – Past Episodes On Demand
Miss any episodes of your favorite HealthcareNOW Radio shows? Find them all on our SoundCloud Channel. Play or Download Here