Current Issue articles

Newly formed Unit will investigate and prosecute fraud related to opioid prescribing and dispensing

Newly formed Unit will investigate and prosecute fraud related to opioid prescribing and dispensing

  By: René Savarise and Peter Thurman Combatting the opioid epidemic in the U.S. is a top priority for federal and state agencies in 2017. On August 10, 2017, President Donald Trump declared the country’s opioid epidemic a national emergency and committed to expending a lot of time, effort and money to combat the crisis.

Challenges healthcare CFOs in Kentucky face today

By Ben Keeton Healthcare finance is the primary topic of interest as healthcare continues to evolve. Physicians and healthcare providers want to focus on treating their patients and working toward a healthier population. The financial teams work on a separate, but important, process to ensure the rules are being followed for a wide array of issues, including proper claims submission, timely payments and accurate reconciliation.

Addressing chronic problems in revenue cycle

Every employee contributes to the success, failure of billing and collecting. By John Williamson Providers continue to suffer from chronic problems in the management of their revenue cycle processes. Office managers and revenue cycle directors are under intense pressure to maintain revenue in the face of increasing challenges from payers. The battle to get paid

Is your compliance program effective?

OIG publishes compliance program metrics for healthcare and beyond. By Rene Savarise On March 27, 2017, the Office of the Inspector General (OIG) released a resource guide for measuring compliance program effectiveness aptly titled “Measuring Compliance Program effectiveness: A Resource Guide.” The resource guide, the result of collaboration between the OIG and the Health Care Compliance Association, contains over 400 performance measures. The assessment tool set out in the

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