Topic: Compliance

2017: Taking Stock to Inform Next Steps

Regan Pennypacker

As the end of 2016 approached, it made for a good time to look back on developments that have impacted us over the past year. The most impactful changes related to 2016 decisions are to come, however, a few important lessons learned over the past year are worth additional reflection. This is especially true if you believe in the effects of Mercury in retrograde. Read more

Leave a comment | Share | |

Operational Resolutions to Enhance Your 2017

Julie Billman

It’s that time of year again.  The time of year we evaluate our lives and make decisions to improve things for the New Year.  How do we start 2017 with more than good intentions?   We should invest that same energy and vision into our work and operations teams.  Let’s focus on what we can do to achieve our goals for 2017.

Read more

Leave a comment | Share | |

Your Money’s Worth

Nancy Djordjevic

The saying “Nothing is certain except death and taxes” still rings true whether it is personal or business or politics. The healthcare industry still must live by these words as we go into 2017 with even more uncertainty in politics and economics.

Read more

Leave a comment | Share | |

New CMS Industrywide Appeals Timeliness Monitoring ‒ What You Should Do Today

Julie Billman

There are some surprises that are good, like winning the lottery or getting a promotion. There are other surprises that are not so good. These include things like a leaking roof or an unexpected bill. At the office, a negative surprise is someone finding out about a problem in your department before you do. It is even worse when it is identified by a Centers for Medicare & Medicaid Services (CMS) regulator.

Read more

Leave a comment | Share | |

January 1 Is Here

Debra Devereaux

“There’s no harm in hoping for the best as long as you’re prepared for the worst.”—Stephen King

Read more

Leave a comment | Share | |

Reflections on the Basics of Delegation Oversight

Regan Pennypacker

Imagine entering University and enrolling into Advanced French Language and Literature, a 300-level class, with no previous knowledge or study of the French language. As your professor welcomes you into class with bonjour, bienvenue, ça va, you have no idea how to reply. Now imagine sticking with that course for the full semester, trying to understand complex language and reading concepts without the foundation or basics. It would be quite an overwhelming few months for anyone.

Read more

Leave a comment | Share | |

Preparing For The 2017 Call Center Monitoring

Angela Fox

On November 16, 2016, the Medicare Drug Benefit and C & D Data Group of the Centers for Medicare & Medicaid Services (CMS) issued the “2017 Part C and Part D Call Center Monitoring and Guidance for Timeliness and Accuracy and Accessibility Studies”.

Read more

Leave a comment | Share | |