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Articles from Roger Steven | Selfgrowth.com
- The Conditions of Participation for Discharge Planning set for change - by Submitted on Sep 13, 2016 from Roger StevenThe Centers for Medicare and Medicaid Services (CMS) has proposed major changes into the Conditions of Participation for Discharge Planning. These changes will have a profound effect on case management departments, which are now required to put in place a plan of action that addresses the new ...
Views: 2667 - Understanding CARC and RARC - by Submitted on May 19, 2017 from Roger StevenA Claim Adjustment Reason Code (CARC) is a code used in medical billing to communicate a change or an adjustment in payment. CARCs have to be used to communicate why there was a difference between the amount paid in a claim or service line and the amount that was billed against it. CARCS are to ...
Views: 2152 - MentorHealth to present webinar on “Quality Assurance in Nursing” - by Submitted on Sep 13, 2012 from Roger StevenSummary: MentorHealth, a leading provider of online training for the healthcare industry, is organizing a webinar on October 3 on the topic, “Quality Assurance in Nursing”. It will be presented by Dev Raheja, faculty at Florida Tech University. ...
Views: 1583(1 vote) - HIPAA compliance for offshore vendors - by Submitted on May 26, 2017 from Roger StevenIn this age of outsourcing and globalization, and with it, the emerging potential phenomenon of the Internet of Things (IoT); it is quite a tempting proposition for HIPAA Business Associates or Covered Entities to think of outsourcing their processes relating to Protected Health Information ...
Views: 1235 - Making Collections and Appeals easier - by Submitted on Sep 22, 2016 from Roger StevenCollections and Appeals for past due amounts can be difficult in any industry; adding the Medical Billing office element to it complicates it further. With this, one has the share of cost for patients, Medicare rules and Regulations, Private Payor contracts, and Collectors without experience in ...
Views: 1217 - Care should be taken while signing the Electronic Health Record license agreement - by Submitted on Sep 27, 2016 from Roger StevenThe Electronic Health Record (EHR) license agreement is the core document for physician practices that have just entered the EHR arena, as well as for practices that transition to a new EHR software package. The license agreement should ideally state and clear issues such as: o Whether and ...
Views: 1101 - Why HIPAA compliance is becoming more challenging - by Submitted on Oct 25, 2018 from Roger StevenThe Health Insurance Portability and Accountability Act of 1996 (HIPAA) is a US legislation that was enacted under the HITECH Act under Bill Clinton’s presidency with the intention of offering safeguards for medical information through its data privacy and security provisions. The Act consists ...
Views: 1097 - Violations of ethical law by psychologists - by Submitted on Mar 03, 2017 from Roger StevenViolations of ethical law by psychologists are a major topic for the society in general and the healthcare industry in particular because psychologists are a highly trained and skilled workforce in the medical profession. Since mental healthcare practitioners work in today's diverse, ...
Views: 1084 - The Stark Law and key considerations for physician employment agreements - by Submitted on May 17, 2017 from Roger StevenOne of the major fallouts of the passage of the Affordable Care Act (ACA) or Obamacare is the phenomenal rise in the number of physician practice acquisitions. These are some of the reasons for this rise: Because of physician practice acquisitions, healthcare providers can consolidate and ...
Views: 1057 - The costs of medical malpractice are exorbitant - by Submitted on Feb 02, 2017 from Roger StevenThe costs of medical malpractice are exorbitant, to put it mildly. First, what is a medical malpractice? A straightforward definition of medical malpractice is that it is an act of wrongdoing, a sort of negligence by a medical practitioner in diagnosing or administering treatment that leads to ...
Views: 1054(1 vote) - MentorHealth Webinar Calendar of Upcoming Courses - by Submitted on May 23, 2017 from Roger StevenMentorHealth webinars are designed to offer professionals in the healthcare industry the knowledge they need in all the areas of the healthcare industry that enables them to excel in their professions. MentorHealth’s trainings bring experts from all the core areas of healthcare and impart ...
Views: 1017 - HIPAA and suing need to be understood fully when contemplating action - by Submitted on Jan 13, 2017 from Roger StevenHIPAA and suing are two important elements closely related to each other. When HIPAA and suing are discussed, what needs to be borne in mind is that an individual cannot sue HIPAA. Yes, you are reading it right. An individual cannot sue a Covered Entity or Business Associate for violation of ...
Views: 1010 - MACRA and HIPAA - by Submitted on May 15, 2017 from Roger StevenThe Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a federal Act that determines the way in which physicians need to be paid when they treat patients who come to them under Medicare. It substantially alters and replaces the earlier Act in this regard, namely the Balanced Budget ...
Views: 984 - Physician Leases need to be structured under the new 2016 Stark Rules - by Submitted on Sep 19, 2016 from Roger StevenStark Law, more formally referred to as The Physician Anti-Referral Law (known as Stark II), is a prominent law concerning physician referrals. Healthcare providers that file claims require compliance with the Stark rules. Failure to comply can invite an enforcement action. The fundamental aim ...
Views: 967 - MentorHealth to present webinar on “Setting up a Compliance Program That Will Protect and Improve Your Operations” - by Submitted on Sep 13, 2012 from Roger StevenSummary: MentorHealth, a leading provider of online training for the healthcare industry, is organizing a webinar on October 11 on the topic, “Setting up a Compliance Program That Will Protect and Improve Your Operations”. Joseph Batte, President of Kristall Associates, will be the speaker at ...
Views: 957(1 vote) - MentorHealth to present webinar on “Setting up a Compliance Program: Training is Key” - by Submitted on Sep 13, 2012 from Roger StevenSummary: MentorHealth, a leading provider of online training for the healthcare industry, is organizing a webinar on October 25 on the topic, “Setting up a Compliance Program: Training is Key”. Joseph Batte, President of Kristall Associates, will be the speaker at this session. ...
Views: 957(1 vote) - Ransomware and HIPAA risks are now closely hemmed together - by Submitted on Mar 01, 2017 from Roger StevenRansomware and HIPAA risks are now inseparable. After a lot of deliberation, ransomware has now become part of HIPAA compliance for Business Associates and Covered Entities that have to show HIPAA compliance. This became official on July 11, 2016, when the HHS issued a new guideline that makes ...
Views: 942 - Webinar on “GHS and Hazard Communication” from MentorHealth - by Submitted on Sep 17, 2012 from Roger StevenSummary: A webinar on the topic,“GHS and Hazard Communication”, is being organized on October 4 by MentorHealth, a leading provider of online training for the healthcare industry. Kenneth S. Weinberg, an independent consultant in environmental health and safety, will be the presenter at this ...
Views: 939(1 vote) - Understanding HIPAA compliance is the basis to be legally tenable - by Submitted on Jan 18, 2017 from Roger StevenUnderstanding HIPAA compliance requirements is the foundation to meeting the legal requirements required of a healthcare provider. Understanding HIPAA compliance involves being knowledgeable about the proper policies and procedures in place, because being in compliance with HIPAA is as important ...
Views: 930 - Webinar on “Blood Borne Pathogens” from MentorHealth - by Submitted on Sep 13, 2012 from Roger StevenSummary: Kenneth S. Weinberg will be the speaker at a webinar being organized by MentorHealth, a leading provider of online training for the healthcare industry. The topic of the webinar, which will be organized on October 18, will be “Blood Borne ...
Views: 930(1 vote) - MentorHealth to present webinar on “HIPAA and Business Associates –New Rules and New Obligations” - by Submitted on Sep 13, 2012 from Roger StevenSummary: “HIPAA and Business Associates –New Rules and New Obligations” is the topic of a webinar that MentorHealth, a leading provider of online training for the healthcare industry, is organizing on October 11. Jim Sheldon-Dean, founder and director of compliance services at Lewis Creek ...
Views: 928(1 vote) - Hospital Management: Expectations vs. Reality - by Submitted on Oct 30, 2018 from Roger StevenHospital management is one of the giant areas of healthcare in the US, estimated at over $ three trillion. This is the world’s largest healthcare market by a long stretch. The sheer size of this market, however, belies the realities that hospital management has to face in their daily ...
Views: 925 - Understanding the Anti-Kickback Statute is a must for healthcare providers and professionals - by Submitted on Oct 06, 2017 from Roger StevenA proper understanding of the Anti-Kickback Statute (AKS) is completely necessary for healthcare providers and professionals. It is among the strongest weapons in the government arsenal for enforcing the federal fraud and abuse laws. Along with Stark II (the federal physician anti-referral ...
Views: 921 - Understand the False Claims Act to be a better whistleblower - by Submitted on Sep 20, 2016 from Roger StevenWhistleblowing is a very important area of the healthcare industry. When exercised properly and with integrity, it helps expose major frauds and saves the industry from many malpractices. There have been instances of whistleblowers bringing many companies into the legal net and helping save ...
Views: 898 - Managing Risks under HIPAA – HITECH for 2017 and beyond - by Submitted on Sep 27, 2017 from Roger StevenWith HIPAA now being fully enforced and the government getting stricter and stricter about its implementation; practice or business or compliance officers need to be absolutely thorough about all the areas of HIPAA implementation. Given that there are enormous issues of risks that Covered ...
Views: 893 - Getting the OCR, HHS HIPAA and HITECH Audits right - by Submitted on Sep 14, 2016 from Roger StevenThe US Health and Human Services (HHS) conducts periodic audits of providers and Business Associates to ensure their compliance with the HIPAA Security and Privacy Rule, and to make sure they are in accordance with breach notification standards. This is mandated in Section 13411 of the Health ...
Views: 888 - MentorHealth to present webinar on “The Science of Safe Patient-Centered Care” - by Submitted on Sep 13, 2012 from Roger StevenSummary: “The Science of Safe Patient-Centered Care” is the topic on which MentorHealth, a leading provider of online training for the healthcare industry, is organizing a webinar on October 16. Dev Raheja, faculty at Florida Tech University, will be the speaker at this ...
Views: 884(1 vote) - Conducting clinical trials effectively requires project management skills - by Submitted on Sep 26, 2016 from Roger StevenBy their nature, clinical trials are at times large complex projects that take years to complete. They involve many different resources, and are covered by extensive federal regulations. Regulations have been enacted with the purpose of documenting the efficacy of the treatment, as well as to ...
Views: 881 - Overcoming the pain of HIPAA enforcement - by Submitted on May 10, 2017 from Roger StevenIn many years that it has been in existence, one of the noticeable changes that HIPAA has undergone is in its attitude. The earlier phase of advice and counseling has now given way to hardboiled and unforgiving enforcement. The Office of Civil Rights (OCR) no longer uses the cajoling and ...
Views: 881 - Understanding the final regulations for the new HIPAA Breach Notification Rule - by Submitted on Sep 16, 2016 from Roger StevenThe final regulations for the new HIPAA Breach Notification Rule place a far greater burden on Covered Entities and Business Associates than earlier. It is not enough for them to just notify individuals whose Protected Health Information (PHI) have been affected. For them to determine if a ...
Views: 869 - Transitioning to a career in biopharmaceuticals requires skillset upgradation - by Submitted on Sep 21, 2016 from Roger StevenOf late, there has been an explosion in the field of biopharmaceuticals in activities ranging from development to manufacture. Although this augurs well for the industry; there are concerns, nevertheless. These concerns relate mainly to the inadequacy of the skillsets needed for this industry. ...
Views: 863 - HIPAA 42 CFR Part 2 and FERPA Rules For Managing Student Health Informaton - by Submitted on Dec 06, 2018 from Roger StevenThis Article focuses on the issues of managing health information when it may that of students and may involve substance abuse treatment information. HIPAA and FERPA allow a number of disclosures without consent that SAMHSA prohibits without consent. how HIPAA relates to information management ...
Views: 860 - Stark Rules require Physician Leases to be properly structured and audited - by Submitted on Jan 20, 2017 from Roger StevenStark Rules require Physician Leases to be properly structured and audited. An important law about physician referrals in the US is the Stark Law. Short for The Physician Anti-Referral Law (known as Stark II), the Stark Law requires compliance with its provisions by healthcare providers that ...
Views: 857 - Education, training and tools for ensuring healthcare frontline food safety - by Submitted on Sep 12, 2017 from Roger StevenFood technology has been growing at a quick pace, having come under the influence of the twin paradigms of the late 20th century, technology and globalization. As populations keep moving from one part of the world to another in the millions; it is natural that they get influenced by the food ...
Views: 845 - Ways of developing and maintain compliant IRB policies and procedures - by Submitted on Apr 21, 2017 from Roger StevenIt is imperative for any organization that is carrying out clinical research to have in place thoroughly and properly written and complete policies and procedures. These are the cornerstone for any well-functioning Institutional Review Board (IRB) and Human Research Protection Program (HRPP). ...
Views: 841 - Understanding HIPAA requirements for safeguarding PHI - by Submitted on Oct 10, 2017 from Roger StevenMeeting the legal requirements required of a healthcare provider hinges on and depends directly on a clear grasp of HIPAA compliance requirements. A thorough grasp of HIPAA compliance entails being fully equipped with all the knowledge needed to put the proper policies and procedures in place. ...
Views: 837 - HIPAA breach evaluation and reporting - by Submitted on Aug 30, 2017 from Roger StevenProtected Health Information (PHI) is a very valuable piece of information. It is valuable for the patient, for the healthcare provider, and for the insurer. Unfortunately, there is one source to which it is more valuable than to all these: Hackers. Protected Health Information is meant to be ...
Views: 835 - Ensuring patient engagement that is HIPAA compliant - by Submitted on Oct 04, 2017 from Roger StevenThe major reason for which there are widespread violations of the HIPAA Rules for communicating with patients by unencrypted email and text message is that healthcare providers and Covered Entities and their Business Associates are ignorant of the rules. Although the HIPAA Rules are pretty ...
Views: 822 - Complementing MACRA and MIPS with HIPAA brings about better patient engagement - by Submitted on Sep 08, 2017 from Roger StevenThe Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) is a federal Act that regulates the manner in which physicians have to be paid when they treat patients who come to them under Medicare. It modifies and supersedes the earlier legislation on this topic, namely the Balanced Budget ...
Views: 818 - The Next Big Thing in Hospital Management - by Submitted on Nov 09, 2018 from Roger StevenIs the US hospital management sector waiting for the next big thing in hospital management? What is it going to be and what shape is it going to take? Any change in the hospital management sector needs to be watched for, because it is part of the $ three-trillion healthcare sector in the US, the ...
Views: 815 - Why You Need Medical Coding - by Submitted on Nov 06, 2018 from Roger StevenMedical coding has been around as a profession in the healthcare insurance sector for a while now. Let us get down to understanding medical coding then. Medical coding is a practice in which the full set of medical data relating to a patient, which could range from diagnosis to medication, is ...
Views: 813 - Ensuring compensation-focused compliance with Stark Law considerations - by Submitted on Jul 19, 2017 from Roger StevenStark Law compliance is now more than just a compliance issue. It has grown to become an Enterprise Risk Management matter, if the substantial awards and settlements in recent enforcement actions are anything to go by. For healthcare organizations that develop and implement provider contracts; ...
Views: 809 - http://www.mentorhealth.com/control/w_product/~product_id=800933LIVE/?Article-SEO - by Submitted on Feb 03, 2017 from Roger StevenHealth care boards are an important element of healthcare governance. These health care boards have oversight of a number issues relating to governance. The US Department of Justice (DoJ) has tightened the oversight functions of health care boards by holding them responsible for any fraud that ...
Views: 807 - Clinician stress and burnout related to user of the EHR - by Submitted on Sep 22, 2017 from Roger StevenThe introduction of the Electronic Health Record (EHR) has certainly brought about a major change in the way healthcare is administered in this vast country. EHR's have evolved in a big way from the time they first came to be used in a moderate way in the healthcare industry a few decades ago. ...
Views: 789 - How do campuses respond to students with mental issues? - by Submitted on Aug 10, 2017 from Roger StevenPerhaps no educational campus is free of students with some or another kind of mental or emotional issues. Considering the wide diversity of students that enroll into American colleges and the varied backgrounds they come from; it is no surprise that American colleges will have to deal with such ...
Views: 783 - HIPAA’s position on use of mobile devices and maintaining privacy and security - by Submitted on Sep 30, 2016 from Roger StevenHIPAA has regulations concerning the use of the mobile devices to access Protected Health Information PHI). Secure technologies for communications and storage of data should also be considered when using portable technologies. Due to these requirements, the use of portable devices by patients ...
Views: 782 - Does fixing a retirement age for physicians help improve the healthcare system? - by Submitted on Aug 08, 2017 from Roger StevenThe medical profession is different from most others in one vital aspect: Practitioners of this profession don’t retire. The profession allows the physician to continue for as long as her physical and mental faculties allow her to. The US’ Supreme Court judges too, don’t retire, but theirs is ...
Views: 772 - Documentation Challenges in Behavioral Health - by Submitted on Feb 07, 2020 from Roger StevenAutomation technologies may have grown by leaps and bounds over the past few years, but that has not done away with the need for documentation, which continues to be a challenge in the healthcare area. This is endemic to the healthcare industry as a whole, but is all the more prominent in a ...
Views: 768 - Things You Should Know About Physician Employment Agreements - by Submitted on Nov 20, 2018 from Roger StevenPhysician Employment Agreements are a core part of the relationship between healthcare providers and the physicians who work for them. Physician Employment Agreements have evolved with the consolidation of the healthcare industry in which physicians are hired and due to the passage of the ...
Views: 766 - Preparing for HIPAA Enforcement - by Submitted on Jul 11, 2017 from Roger StevenIt goes without saying that preparing for HIPAA enforcement is of crucial importance to organizations. The reason: Last year saw a spike in the settlement payments ordered by HIPAA. There were as many as seven settlements of a value of over $1 million each. Of these seven, one was for $5.5 ...
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