Billing Compliance

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Using Data Analytics to Ensure Case Mix Index Accuracy

“If it isn’t documented, it didn’t happen.” That’s the familiar mantra of the healthcare industry. But simply documenting a patient…

Why We Take a Cloud-First Approach to MDaudit Enterprise

Forrester analyst Dave Bartoletti has dubbed 2019 as “the year of global enterprise adoption of cloud computing.” Eighty percent of…

Healthcare Executives Share Ideas on Optimizing Billing Compliance Programs

Billing Compliance and Revenue Integrity leaders work tirelessly on a day-to-day basis to spare their organizations the unpleasant consequences of…

Best Response to the CMS TPE Program? Be Prepared.

In 2017, the CMS began a new auditing program called Targeted Probe and Educate (TPE) “designed to help providers and…

Quality Management Is Key to Optimizing the Business of Healthcare

Quality Management is a familiar concept in healthcare, especially when it comes to organizational excellence and patient safety. Minimizing risks and ensuring…

Hayes CEO: Looking Ahead to the Continued Growth of Hayes and the MDaudit Community

It’s been an exciting ride over the past 15 years, watching our company evolve and adapt to the ever-changing healthcare…

Want to Ensure Greater Compliance? Look at Things from a Provider’s Point of View

Healthcare providers are focused on delivering the most effective care for their patients. In recent years, however, it has become…

Implementing a Plan to Unite Clinicians, Compliance and Revenue Cycle Teams

This is the fourth and final post in our series of blogs discussing how a revenue integrity program can help…

Trouble Ahead: The Unintended Consequences of the Proposed E/M Changes

The provider community has been begging for documentation reform for over 20 years, and there is no question that simplifying…

From Simple Practices to Physician Conglomerates: The Burdensome Journey of the Practicing Physician

This is the second in a series of four posts discussing how a revenue integrity program can help clinical, compliance…

Be Wary: Proposed CMS Changes to E/M Codes Don’t Minimize the Need for Vigilant Review and Monitoring

With all the hoopla surrounding the recent announcement that CMS is proposing changes to Evaluation & Management (E/M) codes, you…