Its a scorcher- Healthcare Reform

I am not talking about the heat index, but how the debate over health care reform is heating up.  Due to this we have decided to do a multi-part blog series on healthcare reform beginning this month.  We will examine some of the recently passed healthcare bills, how they will impact healthcare compliance, business, practices, […]

HIPAA and Privacy Violations

As we are now exploring the issue of some of the most common healthcare compliance concerns facing organization in 2011 it is important that we examine HIPAA and the issue of privacy.  HIPAA and HITECH Privacy Violations can result in both civil and criminal penalties, and it is important that HIPAA policies are followed in […]

Staff Inclusion, or a Hefty Fine

How certain are you that none of your staff members have recently been excluded from Federal Healthcare Programs? This is a question that many healthcare executives and CEOs need to be asking themselves. Recent healthcare reform has expanded permissive exclusion authorities, and many are predicted the heaviest exclusion rates in decades in the upcoming years.  […]

RAC Audits and Risks- Top 5 Tips

RAC audits are now permanent and prevalent across every state and will begin to initiate reviews this year. It is a great time to make sure that your organization is compliant with all applicable regulations and billing/coding issues.  A recent study found that at the average healthcare organization only 58% of services were properly coded, […]

The HEAT is on

HEAT….which stands for the Healthcare Fraud Prevention and Enforcement Action Team is part of a nationwide government-sponsored effort to increase healthcare fraud enforcement efforts, and both organizations and providers have been feeling the squeeze. According to the Department of Justice (DOJ) “Since their inception in March 2007, Strike Force operations in seven districts have obtained […]