Avoiding HIPAA Violations: 10 Most Common Cases
Avoiding HIPAA violations goes beyond air tight technical system controls. Often the leaks and violations come through the human elements of healthcare operations.
Mental Health Parity at a Crossroads
More than 25 years after the first federal mental health parity protections were put in place, adequate coverage for behavioral health (BH) care, including both mental health and substance use conditions, remains elusive for many consumers with health insurance.
BHM Earns URAC Accreditation as IRO
BHM announced that it has been awarded re-accreditation as an Independent Review Organization from URAC
Significant Risks Beyond Recruitment: Medical Directors and CMOs
Recruiting and retaining qualified Medical Directors and Chief Medical Officers challenge healthcare organizations of all types. Whether you employ or contract these medical professionals, consider two recent cases as reminders of potential issues far different than recruitment and retention and considerably more financially damaging. Significant risks beyond recruitment exist and staying informed about new Stark Law rulings pays.
Not Waiting For Capitol Hill: Health System Leaders Move Ahead
Despite industry uncertainty about the fate of healthcare under the new administration and Republican Congress, health system leaders move ahead and are preparing for the future. A recent Premier Inc. survey show the target areas for improvements within their systems. The results signal growth concerns and why the leaders will not wait for Capitol Hill results.
Successful Delegation To Downstream Entities
Healthcare organizations face challenges regarding reduction of their medical and administrative costs because regulatory and administrative demands are increasing. Payers and providers must evaluate new partner relationships and solutions for work processes and potentially outsource administrative functions in order to offer competitively priced services to patients. Successful delegation requires planning.
IRO Transparency Project: Summary
Last year, we published a blog about Washington State's IRO Transparency Project. As the ACA evolves into the next phase of healthcare, states continue using tools and resources developed over the past five years. BHM's continues in its role as a leader in IRO services with an update on Washington's project.
1 Day Left to Sign up For BHM’s Free WebClinic “Components of a Great Peer Review Program”
BHM's webclinic “Components of a Great Peer Review Program” goes live Wednesday, November 18th from 12:00pm to 1:00pm EST. You don't want to miss this great opportunity to receive expert advice related to Peer Review Services. Don't worry you still have time to sign up!
ICD-10 Top Ten Resources: The Best Resources in One Place
We know, the ICD-10 Clock is ticking and organizations have only a short time to prepare for the myriad of changes that ICD-10 will bring.