Implement an enforceable assignment of benefits and protocols to protect providers against insurance underpayment and patient theft. Most members and contracted providers expect and/or take for granted Employee Retirement Income Security Act (ERISA) of 1974 law and assignment of benefits (AOB). But for non-participating (non-par) providers, the ability to receive insurance reimbursement directly, g...
Jul 8th, 2019
Compliance means providers not only have a compliance plan, but they use it. Navigating the healthcare fraud and abuse laws can be an overwhelming process. Healthcare is one of the most heavily scrutinized industries in our nation. The good news is that the Office of Inspector General (OIG) has provided many resources to increase our ...
May 15th, 2019
Keen on giving Americans in federally-funded programs more control over their healthcare, the U.S. Department of Health and Human Services (HHS) has been working closely with past and present administrations to establish regulations governing electronic health information (EHI). On March 4, the Office of the National Coordinator for Health Information Technology (ONC) published a proposed ...
Jun 9th, 2017
The U.S. Department of Health and Human Services (HHS) is seeking comment on how it can create a more patient-centered healthcare system that adheres to the key principles of affordability, accessibility, quality, innovation, and empowerment. An Executive Order President Trump issued on Jan. 20, entitled, “Minimizing the Economic Burden of the Patient Protection and Affordable ...
Apr 7th, 2017
Are you tired of always being the last one to know when the Centers for Medicare & Medicaid Services (CMS) has issued a final rule or transmittal with new coding/billing guidance? Be the first to learn of new Medicare regulations and become a valuable resource for your providers. Simply go to www.cms.gov and scroll toward the ...