501r, IRS, ICD 10 and RCM challenges everywhere...now what?

It just ain't gettin' any easier is it?

Over the past few years, we’ve seen the Affordable Care Act receive much scrutiny and attention for its individual and employer mandate requirements. With the ACA presenting so many details and implications to understand and address, the Internal Revenue Service’s proposed 501(r) might have seemed buried under a heap of your other patient accounting and revenue cycle priorities.  But the new code addendum has the potential to significantly impact tax-exempt hospitals’ ability to bill and collect payment if not properly addressed.  In the midst of ICD-10’s certain implementation later this year and the insurance denial complexities it almost promises to deliver, you’re likely looking to avoid any additional delayed or forgone bill payments, right? Getting familiar with the new requirements and taking action to prepare is crucial to minimizing any negative consequences. 

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Topics: Compliance, ICD-10, Charity Care, Healthcare Reform

Telephone Consumer Protection Act (TCPA) 101

Understanding the Impact TCPA Compliance has on Healthcare Providers


The TCPA was originally designed to curb the numerous unwanted marketing calls that were being dialed into households on a daily basis.  People were discouraged and outraged about the growing number of aggressive calls that were dialed into their homes nightly.  Many of these calls were done automatically (through a dialer system or "robocalls") which is the reason the act was passed.

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Topics: Patient Pay, Compliance, TCPA, telephone consumer protection act

6 Ways to Minimize Your RAC Financial Risk

So, I figured I should write about RACs because they seem to be the topic of conversation at most HFMA events I attend. I am NOT an expert on this particular subject, but with research and talking to people within the industry, I found some interesting tips. A survey I read released by the American Hospital Association mentioned the requests for medical records from Medicare’s wide-sweeping Recovery Auditory Contractor (RAC) program are up over 47 percent since 2012. Therefore, there are some important things that your healthcare organization should consider when looking to reduce your RAC financial risk.

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Topics: Risk Assessment, Compliance, RAC Audit

More Tips for Swimming with the Sharks: Legal Risk and Compliance

Back in June I wrote a blog about the challenges of managing legal risk in the consumer contact business.

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Topics: Risk Assessment, Compliance

Tips for Swimming with the Sharks: Legal Risk and Compliance

I’m in the consumer contact business. For purposes of this blog, consumers are patients, tenants, retail purchasers, utility customers, and student borrowers. My list could go on, but I’m sure my list conveys the point that a consumer is a consumer is a consumer (there’s just simply different types of consumers). A lot of the work my company does involves consumer customer service, consumer accounts receivable management, and consumer bad debt collections.

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Topics: Risk Assessment, Compliance