Jaun

ALJ, DAB rulings, and IJ citations

A new administrator for a nursing home was surprised to know that one can get an immediate jeopardy citation for an issue that doesn't really harm. So the question is whether there are any administrative law judge rulings or Departmental Appeals Board (... Read >

Why organized crime is moving in on health care

In a false claims case, federal fraud fighters recover $4 billion a year. But this is nothing compared to what Medicare and Medicaid fraudsters rake in i.e; an estimated $60 billion a year. Organized crime is moving in on healthcare owing to big potenti... Read >

Red Flags Rule & health care providers

Although medical groups are readying themselves to challenge the application of the Federal Trade Commission's Red Flags Rule to health care providers, the feasibility of such a challenge is not guaranteed. So apart from being required to do so by the FT... Read >

Handling medical privacy for psychiatric care

A facility is going to offer psychiatric services to certain residents with mental health issues or psychiatric diagnoses. These services will be provided by psychiatrists and psychiatric nurse practitioners and will cover individual counseling and group ... Read >

Do not let HIPAA Compliance Throw You Off Gear

There's no denying that electronic health records may cut costs and reduce errors, but they can also increase your compliance risks as well as security from the feds. You will be accountable for compliance even if a third party installs and maintains you... Read >

Gear up for enforcement of security breach regs

+On February 22, the ARRA/HITECH's breach notification regulations will become enforceable. So are you ready for this? The regs, published in August 2009, specifically cover health information that is contained in Personal health records - electronic ... Read >

ICD-10 know how homecare coders should be well-versed with

October 1, 2013 is the deadline for the implementation of ICD-10. Although the date looks like a long way off, you will stand in good stead if you start preparing for it right away. Make the most of these advantages: The benefit of ICD-10 is that it wi... Read >

iPad : Plus and minus points of EHR adoption

These days, there's a lot of hype around Apple's release of iPad, an electronic tablet device that many in the health care technology field see as a revolutionary tool that will pace up EHR adoption. But there are other writers and experts who are appr... Read >

Hospital system admits errors and walks out a winner

Here's an example of a hospital system that did not shy away from admitting its follies and walked home a winner. The University of Michigan Health System (UMHS) is certainly getting attention and seeing favorable results from its unique claims management... Read >

Medication disposal | Do it the right way

Getting rid of a patient's medication after she dies is a problem that many health care facilities face. "Flush them down the toilet," is what some health care staff thinks. But state regulators beg to differ. Recently, New York Attorney General Andrew ... Read >

Protect your PHIs with these tips

Here are three reminders which will help you ensure you're starting 2010 with your privacy program on the right foot. Healthcare providers should not throw PHI, more so your paper, into the trash. You may think of patient privacy exclusively in terms of... Read >

Tips to ace your hospice compliance this year

From a regulation and compliance perspective, this year will be a tough one. So are you geared up for the increased scrutiny that healthcare reform, the new conditions of participation (CoPs), and a number of other regulation-related challenges will throw... Read >

Most wheelchair claims do not meet Medicare requirements

The HHS Office of Inspector General just turned the heat on durable medical equipment (DME) suppliers. According to a new report, three out of the five 2007 wheelchair claims the OIG inspected did not meet the Medicare documentation requirements. The OIG ... Read >

Update your compliance program to duck investigations

Both the feds and the states are increasing their efforts in the area of Medicaid fraud enforcement. As such, it's time for your practice to refurbish its compliance plan to cover both federal and state-specific Medicaid policies and procedures. In a r... Read >

Its time to check, how safe are the safety nets?

There are issues of privacy compliance not being followed religiously and thereby putting at stake the protected health information (PHI) of many patients. Now can we afford to this? Would it really matter if we still put the privacy policy on the back bu... Read >