Mar 27th, 2017
Staff is a critical component of a hospital. Patients often have more interaction with staff than physicians. Properly trained and educated staff can be strong protection against a professional liability claim. Consider the following risk tips for hospital employees: Prepare written job descriptions for all staff. Review each employee’s job description at their annual performance evaluation t...
By Jeremy Wale, JD, ProAssurance Risk Resource Advisor Nearly every hospital in the United States provides anesthesia services to patients. Most offer surgical services with general anesthesia, providing for safe operative care of patients. Such services bring risk exposures, many of which you can proactively mitigate. General anesthesia demands a patient’s airway be protected, and ...
Get answers to the most popular compliance questions. Healthcare compliance is an aspect of healthcare touching everyone, from coders to clinicians to patients. Everyone has questions. And as a healthcare compliance consultant, I try to have the answers. Here are some of the most frequently asked questions (FAQs) healthcare entities and providers ask me: Q: ...
Providers, payers, coders, employers, and carriers must communicate effectively to get the claim paid. When we think of health insurance, we typically think of government programs (e.g., Medicare, Medicaid, TRICARE®), major medical, and private pay. But there are patients with non-traditional insurance, such as auto and — the subject of this article — workers’ compensation. ...
Healthcare business professionals have a duty to respect the claims process and our profession. The False Claims Act (FCA) imposes liability on anyone who knowingly presents, or causes to be presented, a false or fraudulent claim for payment, or who conspires to submit a false claim for payment. Because auditors, coders, and billers work on ...