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Hospital Acute Care Psych Unit Uses Performance Improvement Committee
How one facility is using “verbal intervention” and an education/training opportunity to avoid the kind of compliance trouble Medicare/Medicaid facilities often experience when it comes to using physical restraints with psychiatric patients. One facility is taking a…
Continue reading...4 Tips Keep Your Hospice Claims Compliant in 2010
11. January 2010
Does your hospice have the ‘right stuff’ to ace compliance in 2010? The coming year will be as difficult as any the hospice industry has ever faced from a regulation and compliance perspective, the experts lament. Are you ready for…
Continue reading...Medicaid Compliance: 3 Rules Help You Guard Against MICs
14. December 2009
Find out how these auditors work — and the one way to get on equal footing. Dealing with Medicaid Integrity Contractors is tough, so we gathered 3 rules from attorneys to help you understand and deal with the MICs. Rule No. 1:…
Continue reading...Don’t Forget Patient, Non-Doc Gifts In Your Compliance Efforts
30. November 2009
Use the anti-kickback statute to guide you. When it’s time to spread holiday cheer, many providers like to include patients or other nonphysician referral sources in their gift-giving. But you’d better be careful, or you could end up…
Continue reading...Health Care Referrals: Avoid Holiday Gift-Giving Landmines With These 7 Steps
23. November 2009
Santa? A whistleblower? Writing this message on a gift card could cause your very own Compliance Nightmare before Christmas. The holidays can present one of the biggest compliance hazards to health care…
Continue reading...Physician Billing Compliance: On-Call FAQ
15. November 2009
Beware: You can’t capture ER coverage services with after-hours codes. If you bill incorrectly when your physician covers for others — or when another physician covers for your physician — you could be setting yourself up for charges of fraud.…
Continue reading...Compliance Tip: High Hospital Physician Salaries Can Trigger Anti-Kickback Concerns
1. November 2009
Find out what could put you in jeopardy. If you think hospital physician compensation that exceeds fair market value can only trigger Stark concerns, beware. What is true: The anti-kickback law has a safe harbor for employment relationships that doesn’t…
Continue reading...Focus on Home Health Compliance: Insulin Injections
25. October 2009
Make sure your insulin injection patients meet these 6 requirements. If you’re providing too much help with insulin injections, the HHS Office of Inspector General could soon be on your doorstep. The CMS covers assisted insulin injections when a…
Continue reading...Feds Pinpoint Therapy in Major NPP Incident To Snafus
19. October 2009
Here’s where lots of hospitals unknowingly make big physician supervision compliance blunders. A recent report from the HHS Office of Inspector General notes that a sizable number of practitioners, including therapists, aren’t…
Continue reading...2 DME Scenarios That Trigger Compliance Problems
12. October 2009
‘Supplying’ DME? Make sure your health system understands what ‘freedom of choice’ means. If your hospital holds wheelchair clinics or allows a DME supplier to come to your site and fit patients with prosthetic or orthotic devices…
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18. January 2010
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