Open letter calls on professionals to provide 'fresh perspective' on identifying, fighting 'waste, fraud and abuse.'
Open letter calls on professionals to provide 'fresh perspective' on identifying, fighting 'waste, fraud and abuse.'
- By David Kopf
- May 03, 2012
Observation Deck
Requirements represent hidden opportunity.
The reality is that the Affordable Care Act has made it mandatory for all healthcare providers, at some point, to implement a comprehensive compliance program that meets or exceeds government expectations. Why not make the investment of the front end to better prepare your organization, implement effective internal controls, improve the efficiency of your staff, and provide better quality of service to your patients?
- By Wayne van Halem
- May 01, 2012
Templates could become important element in CMS's pre-payment review demo project.
Templates could become important element in CMS's pre-payment review demo project.
- By David Kopf
- Apr 05, 2012
March 21 call will discuss mobility authorization demo; April 11 call currently sans agenda.
March 21 call will discuss mobility authorization demo; April 11 call currently sans agenda.
- By David Kopf
- Mar 15, 2012
Effective April 13, final rule prohibits providers from directly contacting beneficiaries via phone without 'written' consent.
Effective April 13, final rule prohibits providers from directly contacting beneficiaries via phone without 'written' consent.
- By David Kopf
- Mar 15, 2012
Proposed rule would implement aggressive enforcement of Affordable Care Act provision that could pose problematic to providers.
Proposed rule would implement aggressive enforcement of Affordable Care Act provision that could pose problematic to providers.
- By David Kopf
- Mar 08, 2012
Observation Deck
Understanding the PMD prior authorization demonstration project.
While CMS gave the impression the project was limited in scope, since it only encompassed seven states, the reality is it included 43 percent of the power mobility marketplace. What should PMD providers be doing?
- By Julie Piriano
- Mar 07, 2012
Observation Deck:
Understanding the PMD prior authorization demonstration project.
Understanding the PMD prior authorization demonstration project.
- By Julie Piriano
- Feb 23, 2012
Today’s Open Door Forum yields PMD prior authorization project dates.
Today’s Open Door Forum yields PMD prior authorization project dates.
- By Laurie Watanabe
- Feb 23, 2012
- By David Kopf
- Feb 01, 2012
Products & Technology
How software systems can save providers from drowning in CMS’s pre- and post-payment audits.
Since the start of 2011, providers have been fending off a relentless onslaught of pre- and post-payment audits on Medicare claims. How can technology help them win this war of attrition?
- By David Kopf
- Feb 01, 2012
Sponsored by various state organizations, the series is open to members and non-members.
Sponsored by various state organizations, the series is open to members and non-members.
- By David Kopf
- Jan 19, 2012
CMS report shows 2009-2010 spending grew by only 3.9 percent.
CMS report shows 2009-2010 spending grew by only 3.9 percent.
- By David Kopf
- Jan 12, 2012
The Big 10
There is no doubt that private payor funding will see change in 2012 and perhaps even bigger change during the next.
- By David Kopf
- Jan 01, 2012
The Big 10
Audits were the biggest issue immediately threatening the industry through 2011, and while the industry deals with the bidding of Round Two of competitive bidding, and works to advance the marketing pricing program as an alternative, audits will remain a serious issue for 2012.
- By David Kopf
- Jan 01, 2012