Do You Know the ACA? A Quiz to Test Your Knowledge
How much do you know about the Affordable Care Act? Have you read all 900 pages? Do you know what to expect in the years to come? Below is a quiz to test your knowledge to see if you are an ACA expert. Do You Know the ACA? Do You Know the ACA? For 2010 […]
Protecting Health Records: The Physician Isn’t the Enemy
Protecting Health Records: The Physician Isn’t the Enemy
Are Increased Mergers Related to ACA?
The Washington Post wrote an article titled “ADA Driving Health Care Mergers” as of August 26, 2012. This article cited 2 recent healthcare mergers: Aetna purchasing Coventry Healthcare and Health Care REIT purchased Sunrise Living.
The Affordable Care Act – Summary of Provisions Still to Come
Affordable Care Act (ACA) Summary of Provisions The Affordable Care Act is such a comprehensive piece of legislation with so many provisions, it is difficult to keep track of what is still to come. Following is a summary of the provisions which will become effective last quarter 2012 through 2015. Here is an informative ACA […]
10 Predictions for the Future of Healthcare
Healthcare, as we know it, is changing at an explosive rate especially in conjunction with the economy as well as the introduction of the Patient Protection and Affordable Care Act (PPACA). Future of healthcare
What are PA Services: Understanding physician advisor services?
What Are PA Services? Exactly what are PA services? Physician Advisors serve in multiple capacities throughout healthcare and managed care organizations. They conduct medical necessity reviews, may be called upon to assist in organizational audits, and in some cases are essential in identifying and reversing inappropriate medical necessity denials and a variety of appeal levels. […]
Case Review: Internal Versus External Reviews
Part 2 – Peer Reviews: NAIRO’s External Review Regulations
NAIRO’s External Review Regulations The National Association of Independent Review Organizations (NAIRO) was formed in 20012 by a group of URAC-accredited Independent Review Organizations (IROs). The group’s purpose is to provide uniform regulations from state to state by simplifying the regulated independent review organization application process and independent medical peer review requirements among the states. […]