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How to Implement New Medical Procedures

Adding new medical procedures or diagnosis technology requires analysis against a health system’s core purpose. In this blog, Hugh Greeley suggests that medical staff service professionals read, “The Deming Management Method,” by author Mary Walton. Greeley dedicates his focus on Point 1 of the 14 Points included in the book. Point 1 is, “Creating Constancy…

Exclusion Monitoring – Why It Is So Important to Healthcare Compliance?

A practicing healthcare provider with an exclusion can have serious consequences for healthcare organizations. Navigating federal and state exclusion lists can be a confusing and daunting task. This article will help you better understand healthcare exclusion lists and how to leverage technology to relieve the administrative burdens of screening and monitoring your providers to maintain…

The Value of Medical Staff Services

The critical behind-the-scenes duties of the Medical Services Team that keep hospitals compliant and the quality of their healthcare providers to a high standard. In this blog, Hugh Greeley describes the critical functions of a fine-tuned medical staff services team.  While there are boards and committees in place governed and populated by members of the…

Recap of the Top Healthcare Compliance Risks in 2020

What Is Healthcare Compliance?  Healthcare compliance is the process of following rules, regulations, laws, and professional standards that relate to healthcare practices for an organization or provider. To follow these guidelines, organizations must establish an effective culture of compliance, including practices, policies, and procedures that follow the law and facilitate the implementation of industry best…

What Is PECOS?

Traditionally there were two ways for a provider to enroll in Medicare: through mailed-in paperwork or through the online enrollment management system called the Provider Enrollment, Chain, and Ownership System, also known as PECOS. As of January 6, 2014, the Centers for Medicare and Medicaid Services (CMS) began to deny claims for Medicare home health…

Sanctioning Doctors for Prescription Drug Abuse

The Opioid Abuse and Overdose Epidemic Opioid abuse has become a serious problem nationwide. The Centers for Disease Control and Prevention (CDC) issued a press release in 2011 to announce that the opioid crisis had reached “epidemic levels.” Opioid overdoses quadrupled between 1999 and 2015. In 2015, over 31,000 people died from drug overdoses nationwide,…

What is the HHS OIG (Office of Inspector General) Work Plan?

HHS OIG Work Plan Updates The U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) Work Plan includes projects set forth by the OIG Office of Audit Services and the Office of Evaluation and Inspections. The HHS OIG Work Plan includes evaluations that are currently underway or pending during the fiscal…

What Does Data Governance Mean to Healthcare Organizations and Why Is It So Crucial?

Big data and analytics are the 21st century’s gold rush. In every industry digital technology accelerates the influx of data. In healthcare, data governance includes managing individual pieces of protected patient data including patient records, test results, billing records, prescriptions, and other protected health information. Due to the growth of telemedicine during the COVID-19 pandemic,…

Telehealth: Modern Health Management

In the past, the standard for medical treatment was to arrive at a healthcare facility to be diagnosed and treated. The advancements in technology and COVID-19 have rapidly altered that norm with telehealth becoming the “new norm.” Telehealth is defined as the delivery of healthcare services at a distance through the use of technology. It…

HHS Officially Extends COVID-19 Public Health Emergency Again

During the COVID-19 pandemic, the U.S. Department of Health and Human Services (HHS) declared a public health emergency. As part of that declaration, HHS made temporary policy changes to help healthcare organizations adapt to the emergency. These policy changes will remain in effect as long as HHS renews the public health emergency declaration. Alex Azar,…