Health care providers are REQUIRED to complete Compliance Certification! The Centers for Medicare & Medicaid Services (CMS) requires that all Humana business partners, including health care providers, complete required compliance training and certifications.
Be on the lookout! Humana staff members regularly conduct medical record audits in randomly selected physician offices to help satisfy regulatory compliance by evaluating physician compliance with adopted medical record documentation guidelines.
Today, hospitals and doctors use a system of about 18,000 codes to describe medical services in bills they send to insurers. Apparently, that doesn’t allow for quite enough nuance. A new federally mandated version will expand the number to around 140,000—adding codes that describe precisely what bone was broken, or which artery is receiving a…
The rising tide of electronic health records (EHRs) in hospitals is lifting many other boats, ranging from clinical analytics apps to private health information exchanges. Another beneficiary is medical device integration (MDI) software, which connects medical device data output to EHRs. According to a new Capsite survey, 44% of the nearly 300 responding hospitals said…
The U.S. Department of Health & Human Services’ Office for Civil Rights (OCR) has made public its long-awaited HIPAA audit protocol, posting it on its website June 26. The Health Information Technology for Economic and Clinical Health (HITECH) Act, which amended the Health Insurance Portability and Accountability Act in 2009, required OCR to conduct a pilot audit…
Recently, the United States Supreme Court issued its long-awaited decision on the constitutionality of the Patient Protection and Affordable Care Act (the “Act”).
The health plans are increasingly putting pressure on providers (especially surgeons) to utilize IN-network providers, vendors, facilities, etc.
The following is a portion of the article “Mapping Out Revenue-Cycle Solutions” as provided by Health Leaders Magazine.
The full version may be found here.
Medicare Revalidation – Medicare requires that ALL enrolled providers and Suppliers to revalidate enrollment information every 5 years. The revalidation initiative is currently in process and will continue through March 2015. You have 60 days from the date of the revalidation notice to submit your application(s).
Exploring the New iPad – The primary update is the addition of a new high resolution ‘retina display’. This 9.7″ screen has a resolution of 2048 x 1536 which is sure to appeal to to the wider medical community.