by Gina Elkins | Wednesday, February 24, 2016 | Compliance
What kind of title is that? Does it make sense? If you are a facility who embraces the Triple Check process, then the title will make sense to you and maybe even give you a little chuckle! A Triple Check meeting is imperative this day and age to ensure claims...
by Functional Pathways | Monday, February 22, 2016 | Compliance, Featured
Violent actions in the workplace are ever present in the news these days. It’s becoming more and more common to hear of violent actions performed against healthcare workers in all the various healthcare environments. And due to the nature of our jobs, we tend to...
by Gina Elkins | Friday, January 15, 2016 | Compliance
HHS Office for Civil Rights has recently released a fact sheet which is first in a series of FAQs to clarify further an individual’s core right under HIPAA to access and obtain a copy of their health information. The Office for Civil Rights plan to continue to develop...
by Gina Elkins | Monday, December 14, 2015 | Clinical, Compliance, Regulatory
In the OIG, Office of Inspector General’s semiannual report to congress, the OIG reported that “the Medicare Payment System for Skilled Nursing Facilities needs to be reevaluated”. The OIG reports that “Medicare payments for therapy greatly exceeded SNFs’ costs for...
by Gina Elkins | Monday, November 9, 2015 | Compliance
Have you submitted your October claims to their MAC already? Have you received any denials for medical necessity due to medical diagnoses? Well if you haven’t, you just might. Hospitals reported in October, after submitting their claims to their MAC, they received...
by Gina Elkins | Wednesday, October 14, 2015 | Compliance
Have you heard that saying before, “Everything’s Big in Texas!”? I had the privilege of attending the NASL/ACHA conference this week in San Antonio and boy, the saying is true! Even the shrimp are big!! ICD-10 country wide is BIG too!! We are a little over a week in...
