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Healthcare Compliance for New Providers: Getting Started

American Medical Compliance

CMS (Centers for Medicare & Medicaid Services) These regulations provide essential guidelines for healthcare providers participating in Medicare and Medicaid programs. Conduct regular risk assessments to identify potential compliance issues and areas for improvement.

HIPAA 105
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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues. Spectrum Health’s Clinical Documentation Integrity (CDI) team educates providers to bridge knowledge gaps. They were educated in the rules and regulations of coding. Undercoded Complex Hospital Admissions.

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Optimizing Revenue Cycle Management and Clinical Documentation Integrity To Avoid Coding Disasters

Relias

Yet coding mistakes can mean lost revenue, or worse — fines, compliance, and legal issues. Spectrum Health’s Clinical Documentation Integrity (CDI) team educates providers to bridge knowledge gaps. They were educated in the rules and regulations of coding. Undercoded Complex Hospital Admissions.

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Revenue Cycle Management Outsourcing: Training Must Be Top of Mind

Relias

That requires education , coaching, and experience to ensure an optimal patient experience. You want to outsource the exceptions — the complex claims, the workers comp or motor vehicle claims that take forever and a day because maybe there’s some legal issue,” said Brooks. Technology is not the answer for everything.