By Robert Freedman – A recent article in the HealthIT Analytics newsletter noted that most healthcare organizations are looking to launch Big Data analytics projects to “improve clinical quality and reduce inefficiencies.”
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By Robert Freedman – The risks of non-compliance in the healthcare industry have never been greater. In 2016, the HHS Fraud and Abuse Control Program returned $3.3 billion to the Federal government and private parties. The DOJ opened 975 new criminal health care fraud investigations.
By Robert Freedman – As healthcare organizations have reached near universal adoption of EHR and practice management systems, the amount of available billing and claims data has grown exponentially. This data has the potential to offer insight.
The thought leaders in our community are good about sharing their thoughts on the issues of today. Here are the top read and shared guest posts of October.
By Robert Freedman – If you mistakenly submit a single claim that results in a $100 government over reimbursement, you could now be subject to a penalty of over $20,000, according to the lawyers at Mintz Levin.
By Robert Freedman – In 2015, the OIG recovered more than $3B in audit and investigative receivables as a result of their oversight activities. That’s great news for taxpayers but not so wonderful for the many hundreds of provider organizations that had to dip into their shrinking revenues to come up with these repayments.
By Robert Freedman – According to a report to Congress, that’s the amount returned to Uncle Sam in FY2014 as a result of healthcare oversight and investigations conducted by the Office of Inspector General (OIG). Avoiding this type of negative impact to cash flow and the bottom line is a matter of revenue integrity and is a high priority to most healthcare organizations.