Would a contract valued in the millions, awarded to your business and payable over the next 10 years, be a good thing for you as an entrepreneur? No question! How could it happen? New York City has created a special set-aside where you can get a piece of a 16-billion-dollar pie. The initiative is included in New York City mayor Bill de Blasio’s “One New York: The Plan for a Strong and Just City.” [Read more…]
Medical Auditing for Health Care Facilities and Physician practices is a key to being compliant and profitable. Hospitals reported $167 Million by Recovery Audit Contractors (RACs). We can help your practice make sure your documentation includes the correct modifiers, evaluation and management codes and procedures that support medical necessity.
There is a $7.3 Billion Investment in Health System Transformation in New York State. Approved Quality healthcare is at the forefront to the 19.75 million residents. Center for Medicare and Medicaid Services (CMS) approved Delivery System Reform Incentive Payment Program (DSRIP) Project Plans for New York State. The overall goal of DSRIP is to reduce avoidable hospital use by 25% within five (5) year period through transforming NYS health care system into a financially viable, high performing system. [Read more…]
When a healthcare provider hears the word “audit” it causes the heart to race, a knot in the stomach, possible headache……. And then the following questions come to mind, “Did I document correctly?” “Will I be opened to embarrassment?” and the biggest question
WILL I HAVE TO PAY MONEY BACK?
The audit process in healthcare administration is very complex. It unearths clinical documentation either created electronically or in the very common “medical paper chart”. An Audit means a Clinician must hand over documentation or “patient notes” to an auditor which is usually from an Insurance Company that has previously paid a claim or a Recovery Audit Contractor
A new state regulation goes into effect on March 27, 2016, requiring all medication prescriptions to be electronically prescribed. This requirement affects all medication prescribers, including physicians and dentists. (Veterinarians are excluded) [Read more…]