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compliance Blog posts

January 28, 2020
by Simon Hughes

Eligibility and verification

When the patient arrives the day of the appointment, the first thing your staff should be verifying is the patient’s insurance. Sometimes you find that insurance has changed in just the short period between scheduling and appointment day. Another reason for insurance verification is to prevent or detect insurance fraud/identity theft. According to The Institute […]

January 8, 2020
by Simon Hughes

6 New rules of practicing medicine

October 4, 2019
by Simon Hughes

CMS proposes interoperability rules to increase EHR access

CMS released proposed rules that require many types of insurers to provide electronic health data in a standard format by 2020.

October 3, 2019
by Simon Hughes

Credentialing: More than applications and checklists

Think back to 2015 when the healthcare community frantically prepared for the implementation of ICD-10 and try to remember how many workshops, meetings, training sessions and vendor calls you had to participate in. It was all a bit overwhelming, wasn’t it? Well, credentialing and network management are replacing ICD-10 at the top of our list […]

October 3, 2019
by Simon Hughes

Efficiency in collecting patient liabilities

HIPAA AND THE TCPA Did you know that the Telephone Consumer Protection Act (TCPA) and HIPAA go hand in hand?

October 3, 2019
by Simon Hughes

Global ransomware attack and how to stay protected

Recently in 150 countries around the world, WannaCry ransomware infected more than 200,000 computers in hospitals and healthcare information systems. The initial virus has been slowed thanks to a “kill switch” developed by a British researcher; however, it’s suspected that another wave of copycat malware could hit the healthcare community.

October 3, 2019
by Simon Hughes

Medicare overpaid docs billions for office visits, OIG says

Medicare overpaid physicians $6.7 billion in 2010 for evaluation and management services, HHS’ Office of Inspector General said in a study released Thursday. The overpayments, which allegedly stemmed from incorrect coding and poor documentation, accounted for more than one-fifth of the $32.3 billion the CMS paid for E/M services that year. E/M services are basic […]

October 1, 2019
by Simon Hughes

Automate processes at your practice to increase value

Today, more than ever, people have the ability to automate the dull tasks of daily living, so there is more time to spend on activities of value. Bills can be set to autopay, so you can spend the evening with your family instead of hunched over a checkbook or laptop. Even dog food can be […]

October 1, 2019
by Simon Hughes

Is it time to conduct a HIPAA compliance risk analysis?

In light of the recent $750,000 settlement agreement reached by The University of Washington Medicine (UWM), following the conclusion of a U.S. Department of Health and Human Services Office for Civil Rights (OCR) investigation into a claim of a potential data breach compromising the medical details of thousands of patients, it might be a good […]

October 1, 2019
by Simon Hughes

5 easy steps to going paperless

You don’t have to be told how time-consuming it can be to track down medical billing records when they’re in paper form. Yet, you still haven’t made the move to paperless for one reason or another.