CAQH CORE Compliance: The “Voluntary Mandate” That Isn’t
To comply with HIPAA’s mandate regarding security of information transferred electronically, many organizations have adopted solutions that are not compatible with those of other organizations, making the transfer process cumbersome.
Consequences of PCI Noncompliance
Healthcare finance leaders should understand that the consequences of noncompliance with the PCI standards for security of credit card information can be severe.
Payment Security and Compliance: A Primer for Healthcare Revenue Cycle Decisionmakers
Compliance with credit card security standards has taken on greater importance for hospitals as with the increased likelihood that patients might use credit cards to cover growing payment obligations imposed by high-deductible health plans.
The Opioid Funding Controversy: A Portent of the Upcoming Bipartisan Healthcare Reform Debate
The continuing efforts to repeal and replace the Affordable Care Act could open doors for advocacy groups to revisit aspects of the legislation they want to change.
Ask the Experts: Handling Patients Who Provide False Identities
Are there any policies or workflow processes for handling emergency department patients who misrepresent their identities?
Compliance Analytics: There’s Gold in the Data
Compliance can become a financial asset. For example, data mining provides opportunities to improve vague or incomplete clinical documentation, weak internal communication, overly conservative or inconsistent coding, and physician education, all of which improve the bottom line and reduce risk.
The Abuse and Misuse of Observation Services
Lack of limitations on observation status has led to confusion and increased expense among patients.
Ask the Experts: HIPAA Compliance for Minors
Are there any special HIPAA considerations when treating children (minors) who are living in group homes?
Obstacles Remain for Team Based Care
Some allied health professionals see state laws as the biggest hindrance.The growing use of team based care continues to run into legal and regulatory hurdles, industry advocates say. Shawn Martin, senior vice president at the American Association of Family Physicians,
Hospital Requirement to Provide Auxiliary Communication Aids Continues
An appellate court ruled hospitals must continue to provide appropriate auxiliary aids to help hearing impaired patients exchange medical and financial information with hospital staff.