Clinical Trial Billing Compliance at Academic Medical Centers Abstract Academic medical centers (AMCs) face a weighty regulatory compliance risk in billing Medicare and other third-party payors for clinical trial services. The culture and structure of many AMCs present significant challenges when attempting to coordinate the necessary information and operations to determine whether clinical trial services […]
Medicare & Clinical Research Studies-CMS Pamphlet
Questions and Answers Explaining Medicare & Clinical Research Studies Will I have to pay for any part of the study? Medicare pays for: routine costs of items and services in covered research studies. Examples of these items and services include: • Room and board for a hospital stay that Medicare would pay for even if […]
$1.2M fine for health plan’s HIPAA violations
The Department of Health & Human Services Office of Civil Rights has been warning healthcare providers to conduct risk analyses and act on any deficiencies discovered. A settlement between the government and Affinity Health Plan confirms that this advice is worth heeding.
Protected: Colossal breach puts 4M on alert
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Billing Process analytics to watch
Do You Make These Mistakes in the Business Office? They’re the most common errors we’ve seen when performing our comprehensive revenue cycle analysis, the Revenue Cycle Performance Review (RCPR), across more than 80 hospitals. In fact, even when hospitals reported that they follow these principles, data-driven analytics proved that was not the case. Electronic submission. Your […]
The Must-Read Book List for Healthcare Leaders
From revcyclist.com Here’s a “starter” reading list that will help you continue to grow as a contemporary healthcare leader. I encourage you to add your own suggestion in the comments.
ACA, HFMA Seek Input on Medical Debt Collection Standards
Medical Debt Collection Standards ACA International, the Healthcare Financial Management Association (HFMA), and other stakeholder organizations representing credit bureaus, consumer protection agencies, and more, earlier this month distributed to their respective members proposed medical collection guidelines that, when finalized, sponsors hope will find wide acceptance by the healthcare industry and its business partners.
Don’t give up on dead claims
Read this report before giving-up on “dead” claims Use ERISA protections to your advantage, make insurers follow the law The Employee Retirement Income Security Act of 1974 (ERISA) requires health insurers to respond to claims in a timely manner. Failure to do so can mean the claim is eligible for immediate payment, explains Richard […]
Imbed YouTube Video in Powerpoint
How To… Embed a YouTube Video into a Powerpoint 2013 Presentation [WORKAROUND]
HIPPA security Fines for Copier information
Healthcare Company Fined for Patient’s Info left on copier memory. Healthcare organizations need to consider all kinds of digital devices, including photocopy machines, in examining their data security. That’s the takeaway from HHS’ Office for Civil Rights announcement that Affinity, a managed-care plan serving the New York metropolitan area, will pay more than $1.2 million […]
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