Every compliance officer knows “The OIG’s Seven Fundamental Elements of an Effective Compliance Program” and strives to place these elements at the core of their organization. Here's a review of The Seven Elements...they can be intimidating! Implementing written policies, procedures and standards of conduct. Designating a compliance officer and compliance committee. Conducting effective training and [...]
Medicare’s competitive bidding program has been delayed until 2021, with the possibility of the open window extending even longer than the next two years.
Home medical equipment (HME) ranges the spectrum from incontinence supplies and breathing apparatuses to hospital beds and a variety of mobility devices. There are a few different ways to get the medical equipment and supplies you or a loved one may need; however, some items are not covered by insurance.
The U.S. healthcare industry loses billions every year due to fraud, abuse, and administrative waste. Here are five startling facts on healthcare fraud. 1. $225 billion of the $750 billion in healthcare spending was wasted on fraud, unnecessary services, and excessive administrative costs. According to researchers, in 2009 roughly 30 percent of the total healthcare [...]
The Current Dilemma with DME Documentation Needs Medical supply companies who provide all types of HME or DME products to patients face a slippery slope when it comes to compliance regulations. The regulations for documentation for proving necessity for an item can be rigorous and complex, and if not careful, suppliers can find themselves in [...]
Few things are as critical to the operation of your healthcare business as compliance. Of course, every other facet of your business is important, but unless you’re meeting the required standards of regulatory compliance, you’re jeopardizing the very survival and existence of your entire operation due to the potential liabilities created when compliance takes a [...]
There is no hiding it....the Medicare criteria required for determining patient need for a power mobility device (like a scooter or power wheelchair) is both overwhelming, complex and requires a lot of documentation. The Problem: So Complicated! A power mobility device (PMD) is near impossible to prescribe due to the numerous steps in the [...]
As Ben Franklin infamously put it, an ounce of prevention is worth a pound of cure. Yet when it comes to preventative healthcare, many of us fall short. According to the Centers for Disease Control and Prevention (CDC), Americans use preventative services at only half the recommended rate. […]
With today’s competitive healthcare environment, keeping your current patients happy is just as important as growing your practice. With the growth of online review sites, patients have gained the upper hand when it comes to promoting or demoting medical practices. In effect, your patients have become a powerful extension of your marketing strategy so making [...]
Gone are the days when patients quietly endured long waiting room times and blindly followed their doctor’s advice. The Internet has turned patients into active consumers who take their healthcare into their own hands. Patients are also turning to social networking and online review sites for information, advice and to vent their frustrations. Patients searching [...]