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Update: CMS Guidelines for Outpatient Orthopedic Prosthetics Procedures
- September 16, 2019
- Posted by: dynafios
- Category: Blog, Healthcare Contract Compliance, Hospital Management, Physician Compliance
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Effective January 2018, the Centers for Medicare & Medicaid Services (CMS) revised guidelines concerning coverage for Total Knee Arthroplasty…
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The Importance of Contract Compliance for Physicians
- May 21, 2019
- Posted by: dynafios
- Category: Blog, Healthcare Contract Compliance
Medicine is an appealing industry for many ambitious young professionals. It is a high-paying and fast-growing field. Many physicians working today earn well over $200,000 a year, and the number of active physicians has trended upwards for the past 40 years. Consequently, smart and hard-working…
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How to Avoid Non-Compliance with Physician Agreements
- May 23, 2018
- Posted by: Cherie Blehm
- Category: Blog, Healthcare Contract Compliance, Hospital Management, Physician Compliance, Time Tracking Software
Recently we learned that a hospital system based in Cincinnati had agreed to pay the federal government $14.25 million to resolve allegations the system violated the False Claims Act, according to the Department of Justice. This could have been avoided…
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How Medical Time Tracking Reduces Compliance Risk
- May 15, 2018
- Posted by: Cherie Blehm
- Category: Blog, Healthcare Consulting, Healthcare Contract Compliance, Hospital Management, Physician Compliance, Time Tracking Software
Even though Stark Law and the Anti-Kickback Statute have been on the books for some time, many healthcare organizations are still tripping over the details of the complex requirements. Healthcare entities discover potential violations of Stark Law during routine compliance audits without even knowing the violation occurred until it’s too late. The penalties for violating Stark Law can be severe—civil monetary penalties or even jail…
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What is a Co-Management Agreement?
- May 10, 2018
- Posted by: Cherie Blehm
- Category: Blog, Healthcare Consulting, Healthcare Contract Compliance, Hospital Management, Physician Alignment, Physician Engagement
“Physician alignment” and “physician engagement” seem to be the buzzwords of the day and these terms are often associated with co-management. Co-management, simply speaking, is a form of hospital-physician integration that does not require hospital employed physicians. However, co-management can be leveraged to further integrate employed physicians…
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How to Build a Physician Alignment Strategy
- April 25, 2018
- Posted by: Cherie Blehm
- Category: Blog, Healthcare Consulting, Healthcare Contract Compliance, Healthcare Data Analytics, Physician Alignment, Physician Compliance, Physician Engagement
Most health system executives rank physician alignment as one of the top priorities. With the shift from volume toward value-based reimbursements, a tight collaboration between physicians and systems is a necessity, making physician alignment even more of a top concern. Unfortunately, many healthcare organizations approach physician alignment with outdated strategies and priorities…
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5 Easy Wins to Minimize Physician Contract Compliance Risk
- April 3, 2018
- Posted by: Jeff Eppinette
- Category: Blog, Healthcare Contract Compliance, Physician Compliance
The federal government has continually upped its efforts related to investigating, prosecuting and combating healthcare fraud. This focus has led to increased scrutiny on hospital-physician financial relationships and contracting issues. This interest has sharpened especially with the movement of physician providers into employment, medical directorships or other compensated relationships with local hospitals…
