Building State Exchanges – And the Challenges
Some of the top obstacles states will face as they create insurance exchanges as dictated by the Affordable Care Act under healthcare reform.
Reliance on Medicaid Managed Care Grows
According to a new national survey, more and more states are relying on Medicaid managed care plans, and the federal healthcare […]
ACA – Paved with Good Intentions…
The idea behind the Affordable Health Care Act (ACA) is noble and true. The implementation may be a bit more complicated.
The Affordable Care Act – The Communication Obstacle
Over the next three years, as part of the ongoing healthcare reform initiative the […]
Affordable Health Care Act: In A Nutshell
The basics of the Affordable Care Act, including some the provisions to help clarify the main legislation in the world of healthcare reform.
The Billion Dollar Cost of Fraud
What is the source of the billion […]
Fraud Prevention Initiative
Healthcare fraud and abuse affect everyone in the healthcare system and interfere with Medicare’s ability to serve future generations. To address […]
RAC Audit Overview
RAC Audit Overview
BHM assists organizations mitigate RAC audit risk. Let’s dive into a RAC Audit Overview. […]
Fraud and Abuse-False Claims Act in Healthcare
The False Claims Act, as we discussed in our prior post, encompasses any government spending program. Our focus will be on the FCA as it specifically relates to […]
Basics on the False Claims Act
Gain a general understanding of the False Claims Act and how it will impact healthcare fraud and abuse from a compliance standpoint.