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COMPLIANCE

Compliance officers must establish credibility with consistent, well-documented decision-making

One of the tougher issues a non-lawyer compliance officer faces is a challenge to their decisions and recommendations by other members of…


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HEALTH CARE REFORM

What every medical office manager needs to know about the Sunshine Law

Another product of the Affordable Care Act, the Sunshine Law (also called Open Payments) begins implementation this year. The law requires manufacturers and…


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INSIGHT

What makes a successful practice manager

By Shane Carter  bio
Being a practice manager in today’s healthcare environment is a very tough job. Disruptive and transformational change is underway in health care delivery. The modernization of…


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QUALITY PAYMENT PROGRAM

New Quality Payment Program resources are now available

The Centers for Medicare & Medicaid Services (CMS) has recently posted the following new and updated resources on the…


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HEALTH INSURANCE EXCHANGES

2018 Health Insurance Exchanges Issuer County Map

The Centers for Medicare and Medicaid Services has posted an update to the Health Insurance Exchanges Issuer County Map. This map is of projected…


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HEALTH CARE REFORM

How to determine your MIPS participation status

Are you unsure of your participation status in the Merit-based Incentive Payment System (MIPS)…


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HEALTH CARE REFORM

Watch for your MIPS participation status letter

The Centers for Medicare & Medicaid Services is reviewing claims and letting practices know which clinicians need to take part in MIPS, the Merit-based Incentive Payment System. MIPS is…


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INSIGHT

Repeal and Replace has failed. Now what?

By Ron Howrigon  bio
It’s no secret that the healthcare environment is changing on a daily basis. As it stands today, it appears highly unlikely that the…


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HEALTH CARE REFORM

CMS’ Accountable Health Communities Model selects 32 participants to serve as local ‘hubs’ linking clinical and community services

Last year, the Centers for Medicare & Medicaid Services (CMS) released a Funding Opportunity Announcement (FOA) for applications for the Center for Medicare and…


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HEALTH CARE REFORM

Nearly $100 million awarded to help small practices succeed in the Quality Payment Program

The Centers for Medicare & Medicaid Services (CMS) has awarded approximately $20 million to 11 organizations for the first year of a five-year program to provide on-the-ground training and…


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