Search Results: arrangements
Regulatory Analysis
Health Care Regulatory Consulting and Analyses Regulatory problems have become increasingly difficult for health care organizations, bleeding providers out of…
Litigation Support
Health Care Litigation Support Strategic Management employs a number of attorneys, but is not a law firm that acts as…
Co-Source / Outsource Compliance
Outsourced Compliance Officers & Co-sourcing Support for Compliance Programs Commonly, Compliance Officers are overloaded with duties, responsibilities and obligations yet…
Healthcare Regulatory Compliance Services
Today’s health care compliance and regulatory environment is among the most complex in our nation. Health care organizations need to…
Systems Reviews versus Transaction Reviews — A Closer Look at a New Era of Mandatory Compliance
A New Era of Mandatory Healthcare Compliance Programs Compliance programs initially were voluntary in the healthcare industry. Eventually managed care…
Don’t Let Money Go to Waste Learn to Bill Discarded Drugs Correctly
The Centers for Medicare & Medicaid Services (CMS) recently released Transmittal 1962 clarifying the use of modifier JW and how to…
GAO Yellow Book Standards and Independent Review Organizations
The heightened focus on health care fraud, waste, and abuse at both the Federal and State levels in recent years…
Managing Risks When Implementing the New EHR Disclosure Accounting Requirements of ARRA
The American Recovery and Reinvestment Act of 2009 (ARRA) was signed into law on February 17, 2009, a critical measure to stimulate…
Disclose or Not Disclose: That is the Question
Our firm has been engaged to review claims and arrangements for a great many of hospitals. Invariably, we find errors,…
CMS’ Anti-markup Rule
The Centers for Medicare & Medicaid Services (CMS) recently issued Transmittal 445 to provide claims processing instructions for contractors when submitting…
Hospital Risk Management Program: Ten Risk Categories For The Four-Step Process
In a prior article, “Refocusing the Compliance Paradigm,” that appeared in the April 2008 issue of Compliance Today, we laid out…
The Latest on OIG Physician Arrangement Enforcement Actions
The article explains the importance of auditing and monitoring all arrangements involving physicians. About the Author Richard P. Kusserow established…