Blogs

Blink and you might have missed them...new Compliance Program Guidelines for Managed Care

CMS, on July 27, 2012, issued new chapters in the Managed Care Manual (Pub. 100-16, Chapter 21) and in the Prescription Drug Benefit Manual (Pub. 100-18, Chapter 9). These chapters lay out the requirements for the compliance program that all sponsors are required to adopt and implement.  Front and center, we see a familiar seven elements that are to be the core of the program.  CMS provides plenty of details on the seven elements but leaves room for each program to be tailored to a sponsor's unique organization, operations and circumstance while cautioning that in order for a program to be effective, sufficient resources must be devoted to it.  CMS will consider a sponsor’s size, structure, business model, activities, the extent of its delegation of responsibilities to other entities, the breadth of its operation, and the risks it faces in evaluating whether adequate resources have been devoted to the compliance program.

What Is Data Analytics and How Does it Help Prepare Providers for ICD-10? (Webinar Replay)

Click here to see a replay and/or download the handouts from the What Is Data Analytics and How Does it Help Prepare Providers for ICD-10 webinar. This webinar will answer What is Data Analytics, Why Do You Need To Perform Data Analytics NOW and Who should perform the data analytic projects in both Hospitals and Physician settings. It will cover common methodologies, tools and reporting used in Data Analytic projects. Along with, examples and case studies on how to utilize and take action on the data.

Thoughts from the NEHIMA & Long Term Care Annual AHIMA Conference

I don’t know about you, but I learned so much at the New England AHIMA and Long Term Care conference this week at Mohegan Sun in Connecticut!  As a solution specialist, I am always mindful of the ways that compliance, coding and reimbursement professionals are inundated with an overwhelming set of challenges.  Having time at smaller shows like this gives me a great opportunity to hear from MediRegs Coding Suite and ComplyTrack clients who tell us regularly how our tools help, and I’d like to share some of this with you. 

Solve the Documentation Puzzle for ICD-10 (webinar replay)

Click her to see a replay and/or download the handouts from the Solve the Documentation Puzzle for ICD-10-CM and PCS webinar. View this webinar to learn how to respond to the statement “Just tell me what to document.” We’ve cover the types of documentation necessary to assign a diagnostic statement to a specific ICD-10-CM code or to correctly assign an ICD-10-PCS code.

A question for Students - Print or Electronic Coding Tools?

Now that we offer a Student Edition of the Coding Suite, a common question is whether students should stick to paper, or if using companion electronic tools offer any advantages.  These are smart questions!  Perhaps after the switch to ICD-10, the testing organizations will be more open to electronic books, but in the mean time, let's discuss the interplay between paper-based and electronic codi

Mapping ICD-9-CM to ICD-10-CM: Lessons Learned (Webinar Replay)

Click her to see a replay and/or download the handouts from the Mapping ICD-9-CM to ICD-10-CM: Lessons Learned webinar. This webinar will highlight activities that support learning ICD-10-CM/PCS. Participants will be introduced to decision trees concept and mapping illustrations for both ICD-10-CM and ICD-10-PCS. The session will describe several methods of discovery for learning experiences with the two classification systems.

Objectives:

Effectively Develop and Manage Compliance-Related Policies and Documents (Webinar Replay)

Click her to see a replay of the Effectively Develop and Manage Compliance-Related Policies and Documents webinar. One of the critical elements of an effective compliance program is development, distribution, and management of standards or code of conduct, as well as written compliance guidance in the form of policies and procedures that promote a commitment to compliance. This web conference addresses the importance of developing, maintaining, and managing key policies and other types of compliance documents.

Analysis of CMS's Proposed Rule on the Duty to Report and Return Overpayments (Webinar Replay)

Click her to see a replay of the Analysis of CMS's Proposed Rule on the Duty to Report and Return Overpayments webinar. On February 16, 2012, CMS published in the Federal Register its much-anticipated (and long-awaited) notice of proposed rule-making regarding Medicare provider and supplier obligations to report and return overpayments.

Pages

Subscribe to RSS - blogs