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The ProviderTrust Blog

Your source for healthcare compliance news, advice from industry experts, and all things related to OIG exclusions.

Industry News, Healthcare Compliance, SNF

September Healthcare Compliance News

Posted by Michael Rosen, ESQ on Tue, Sep 26, 2017

Healthcare Compliance News September is packed with news and insights from many healthcare compliance resources. We’ve curated recent articles that stood out in our eyes this month. Our list includes stories and releases from OIG and CMS, as well as articles on data security and the common problem of shrinking compliance budgets and how to make the most of them. Take a look! 


Making the Business Case for Compliance

The Business Case for Healthcare Compliance

Let's assume that we all know how hefty fines and penalties can be when imposed on healthcare organizations for noncompliance. With shrinking budgets, demanding boards, and an unpredictable market, compliance professionals are under quite a bit of pressure. Many times it seems as if you are pleading your case for more oversight and it's not getting the attention it deserves. DotMed's HealthCare dailynews takes a look at the growing concern of budget cuts and the risk of noncompliance.  

Read the full article here

Centers for Medicare & Medicaid Services: Innovation Center New Direction

Centers for Medicare and Medicaid Services Innovation Center New Direction

CMS published a recent article explaining their intent to make some changes with their Innovation Center in regards to patient-centered care that would, "empower beneficiaries as consumers, provide price transparency, increase choices and competition to drive quality, reduce costs, and improve outcomes."  

The CMS Innovation Center has submitted a request seeking feedback on this new direction and outlines changes to various test models. 

Read more about the CMS Innovation Center New Direction on their blog. 

How Vendors, Providers Can Create Strong Health Data Security

Healthcare Vendor and Provider Data Security

Photo Source: Thinkstock

Data security is so vitally important, and when many partners and systems are exchanging personal information, each transfer or entry needs to be protected. Find out more about how vendors and providers can work together to help ensure strong health data security in a recent article from HealthITSecurity. 

Read the full story here

Vulnerabilities Remain in Medicare Hospital Outlier Payments

OIG and CMS Medicare outlier payments

In a recent release from OIG, 465 Medicare cost reports qualified for reconciliation of outlier payments from previous reviews. In high cost cases, CMS will rely on Medicare contractors to reconcile outlier payments. During the time of October 2003 through March 2011, there have been quite a few descrepancies.  

Read more on the vulnerabilities that remain in Medicare Hospital Outlier Payments in the latest OIG report

We would love to hear your thoughts. Are there any big items that we left out?

Leave a comment and get the conversation going below! 

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Written by Michael Rosen, ESQ

ProviderTrust Co-Founder, [email protected]

Michael brings over 20 years of experience founding and leading risk mitigation businesses, receiving numerous accolades such as: Inc Magazine's Inc 500 Award and Nashville Chamber of Commerce Small Business of the Year.

 Connect with Michael on Linkedin 


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