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Managing Risks When Implementing the New EHR Disclosure Accounting Requirements of ARRA
The American Recovery and Reinvestment Act of 2009 (ARRA) was signed into law on February 17, 2009, a critical measure to stimulate…
Protect Yourself: Know How to Bill Medicare for H1N1 and Seasonal Flu Vaccines to Prevent Revenue Loss
According to the Centers for Disease Control and Prevention (CDC), there have been 22,364 laboratory confirmed hospitalizations and 877 laboratory‐confirmed deaths…
HIPAA Electronic Transaction Standards Is Your Organization Ready?
The Health Insurance Portability and Accountability Act (HIPAA) requires the Secretary of Health and Human Services (HHS) to develop standards…
Disclose or Not Disclose: That is the Question
Our firm has been engaged to review claims and arrangements for a great many of hospitals. Invariably, we find errors,…
Durable Medical Equipment (DME) Documentation Required for Medicare Payment
Recent Developments Highlight the Importance of Medical Necessity Documentation The U.S. Supreme Court recently denied review in a case, reaffirming the…
A Refresher: Observation Services
When tracking patients’ admissions status, identifying services rendered, calculating the number of observation hours, and ensuring accuracy and completeness of medical…
Understanding the Role of an Interim Compliance Officer
Numerous events can trigger the use of an Interim Compliance Officer (ICO). The trick is finding ICO’s that are properly…
Figuring out the Codes: Inpatient Rehabilitation Facilities and the Transfer Policy
Inpatient rehabilitation facilities (IRFs) are hospitals (or subunits of a hospital) that offer intensive rehabilitation services to the inpatient population. The…
Hospital Risk Management Program: Ten Risk Categories For The Four-Step Process
In a prior article, “Refocusing the Compliance Paradigm,” that appeared in the April 2008 issue of Compliance Today, we laid out…
Leasing Agreements between Hospitals and Physicians Draw Considerable Attention
Simple Tips to Help Compliance Professionals Understand Complex Standards and Improve Agreements By now most hospitals are acutely aware that the Office of…
Hospital Risk Assessments: Sources and Techniques
Risk assessments have become an important method for hospitals to establish and prioritize risk areas within their facilities. Specifically, the Health Insurance Portability and Accountability Act (HIPAA) and…