OIG Compliance – The Line In The Sand You Don’t Want to Cross

by Phil C. Solomon March 8, 2017

Understanding OIG Compliance Background On October 15, 1976, President Gerald Ford signed into law legislation creating an Office of Inspector General (OIG) at the Department of Health, Education and Welfare (HEW).  HEW OIG would become HHS-OIG in 1980 when the Department was redesignated as the Department of Health and Human Services (HHS). The OIG and […]

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Healthcare’s Newest Security Threat: IoT

by Phil C. Solomon February 1, 2017

One of the greatest technological achievements in the 21st Century was is the creation of the Internet.  Its formation has effectively changed almost every aspect of business and personal communication. The newest threat to cybersecurity is the proliferation of Internet of Things (IoT)—connected physical and smart devices that have embedded technologies including electronics, software or sensors that allow for network […]

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Enforcement Procedures Adjusted for Two-Midnight Rule

by Phil C. Solomon January 25, 2017

OIG Report Reveals Two-Midnight Rule Vulnerabilities A study by the Office of Inspector General (OIG) has revealed “vulnerabilities” under the Two-Midnight hospital policy that initially went into effect on October 1, 2013.  In response to the findings, OIG has recommended that the Centers for Medicare and Medicaid Services (CMS) improve oversight of hospital billing under […]

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ACA – First Steps Towards Repeal

by Phil C. Solomon January 23, 2017

Trump’s executive order on the ACA: 5 things to know This is an excellent summary written by Emily Rappleye of Beckers Hospital Review about President Trump’s position on the ACA and how he and his Cabinet are going to pursue repealing the ACA. President Donald Trump signed an executive order Friday evening aimed at immediately […]

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MACRA and the Medicare Payment Reform Juggernaut

by Phil C. Solomon January 18, 2017

The passage of the Medicare Access and Children’s Health Insurance Program (CHIP) Reauthorization Act of 2015 (MACRA)1  has contributed to changes in healthcare delivery by redesigning Medicare’s payment and delivery methods for physicians and other clinicians. MACRA repealed the highly debated sustainable growth rate (SGR) formula which eliminates the 21 percent across-the-board cut in Medicare’s […]

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Healthcare Consumerism Has “Won the Day”

by Phil C. Solomon January 10, 2017

Consumerism and Personal Debt Accumulation Merriam-Webster defines consumerism as the promotion of the consumer’s interests and the theory that an increasing consumption of goods is economically desirable.  The United States (U.S.) has become a society of increasing consumerism, where individuals are making increasing levels of purchases for a variety of consumer goods. Retailers and service […]

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Providers Are Leaving Money on the Table – Proper HCC Coding Fixes It

by Phil C. Solomon December 1, 2016

The Centers for Medicare and Medicaid Service’s (CMS) Hierarchical Condition Category (HCC) risk adjustment model calculates risk scores, which will adjust capitated payments made for aged and disabled beneficiaries enrolled in Medicare Advantage (MA) and other plans. The CMS-HCC model design uses two risk segments with separate coefficients to reflect the cost patterns of beneficiaries.  The […]

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Healthcare Consumerism is Unfolding Right in Front of Our Eyes

by Phil C. Solomon November 17, 2016

Healthcare consumerism isn’t defined by Merriam-Webster. The traditional definition of consumerism is the promotion of the consumer’s interests and it states that an increasing consumption of goods is economically desirable.  The United States has become a society of increasing consumerism, where individuals are making increasing levels of purchases for a variety of consumer goods. Retailers and […]

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WikiLeaks, Hacking and Cybercriminals Keep Healthcare IT Stakeholders Up at Night

by Phil C. Solomon November 2, 2016

WikiLeaks; The Hacker’s Hacker You would have to be living entirely off the grid to be unfamiliar with WikiLeaks, the multi-national media organization founded by Julian Assange.  WikiLeaks has elevated itself as the most well-known name in hacking, exposing classified, censored or otherwise restricted official materials involving war, spying, and corruption.  The organization is despised […]

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Healthcare Technology – Buy Versus Build or Both?

by Phil C. Solomon October 10, 2016

Buy A New Technology or Further Develop Legacy Systems Lately, technology security has taken center stage as health organizations face increased challenges of maintaining the security of patient health information (PHI).  While securing data is of concern, determining the most applicable and cost-efficient technology is the most important priority. Accelerating digital transformation and leveraging emerging […]

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Telehealth Has Become the 21st Century Gold Rush

by Phil C. Solomon October 7, 2016

The Distinction Between Telemedicine and Telehealth The American Telemedicine Association (ATA) defines telemedicine as the remote delivery of healthcare services and clinical information using telecommunications technology. Today, as telemedicine crosses the chasm of innovation, it leverages a wide array of clinical services using internet, wireless, satellite and telephone media to deliver clinical care. What is […]

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Compare 7 Key Healthcare Positions – Trump vs. Clinton

by Phil C. Solomon October 3, 2016

KEEP IT OR DITCH IT – That is the question – You be the judge Side-by-Side Comparison of the Candidates’ Health Care Positions provided by Kaiser Family Foundation – kff.org Hillary Clinton Donald Trump Position on the ACA Maintain and build upon the ACA. Repeal the ACA in its entirety. Repealing the law would rollback many […]

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