LTPAC Regulatory Risk

Shared Services – Truth In Billing

By Jana Weis, Principal, Gill Compliance Solutions, LLC.

As consultants in the healthcare industry, we are asked all kinds of questions on a daily basis.  Yet, if I were to add up the number of times clients ask about shared services, it would likely be on the top of the list.  Shared services seem like an easy concept, two providers’ participation in the care of a patient, right?  Well, almost right. 

Let’s first take into consideration the CMS language surrounding shared services:

Keeping up with MS-DRG Revisions

Rayellen Kishbach's picture

CMS has issued two errata and correction notices for how MS-DRG logic functions in FY2017. These changes may impact payment. This article highlights a few examples.

It is important to note that CMS published v34 r2 in time for implementation on 10/1/2016, but the v34 r3 was released after claims for FY2017 had begun, so improper payments may have occurred.

Policy Management

Maintaining consistent policies, documentation and compliance procedures, particularly across multiple facilities, locations and across multiple states, is difficult and often done after the fact.

MediRegs Reimbursement Suite

Go beyond basic coding with a mid-level research solution focused on claims processing, coding, payment and revenue.

The MediRegs Reimbursement Suite goes beyond basic coding to include payment calculators, edit-checking tools and everything you need to understand the claims processing system.

MediRegs Regulatory Center

Our basic solution is a perfect fit for analysts who need to stay up to date with regulatory change.

Developed for compliance, reimbursement, and risk analysts, as well as other regulatory-based professionals with compliance research needs, the MediRegs Regulatory Center is a simple, cost effective way to keep informed of the latest federal and state regulatory updates and manual changes with quick, high-level searches.

ComplyTrack

Confidently manage risk and drive compliance.

Your bottom line depends on it: the ability to manage risk and maintain an enterprise-wide culture of compliance in the face of constant change.

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