Author Archives: Brenda Palumbo

Effective Written Policies and Procedures

Having an effective compliance program is critical for healthcare providers given today’s complex regulatory environment and increased scrutiny of by federal and state regulators.  One core element of an effective compliance program is written policies and procedures.  Written policies and procedures describe the compliance program’s expectations, provide guidance to employees...

Artificial Intelligence in Healthcare Management

Artificial Intelligence in Healthcare:  AI moves from sci-fi movie plots to real world applications for coding, patient care and health management and strategy. Artificial Intelligence (AI) is ‘machine learning’ and the ability to perform tasks without human direction. Cognitive tasks include speech and visual interpretation, decision-making, problem-solving and complex data...

Three Areas to Consider When Selecting a CDI Program Partner

It has been more than a year since ICD-10 was implemented, which has allowed for some degree of normalization for clinical documentation improvement (CDI) programs. Time and resources can now be redirected towards building, strengthening or expanding CDI programs to meet the increasing demands of documentation requirements. Below are three...

How to be Secure with Your Privacy and Security Program

Over the past year, reports of Protected Health Information (PHI) breaches, ransomware attacks and hacking of healthcare software systems/applications have increased. Due to the uptick in potential breaches and threats to PHI, the Office of Civil Rights (OCR) has also increased its efforts to ensure healthcare organizations have the appropriate...

New Technology Add-On Payment

CMS grants Vistogard® New Technology Add-on Payment Effective October 1, 2016 The CMS decision means that Medicare will pay up to 50% reimbursement of the cost of Vistogard® in the hospital setting (up to $37,500), and it is expected to stay in place for two years until the cost of...

CDI Query Strategies Webinar

CDI Query Strategies:  Webinar #2 Provident’s Coding and Documentation Compliance Series featured three (3) webinars focused on documentation standards, coding best practices and ways to ensure inpatient hospital based reimbursement aligns with the care being provided. The second webinar in the series, Clinical Documentation Improvement (CDI) Query Strategies covered the...

Are you monitoring the right data? What HIM directors should be looking for.

The Health Information Management (“HIM”) department is the informational and financial hub of healthcare facilities. Coders, clinical documentation specialists (“CDS”) and quality/compliance analysts are the last line in an important workflow that determines a facility’s reimbursement.  An HIM directors’ responsibilities go beyond making sure things just run smoothly.  A successful...

Mobile Healthcare IT Adoption: Securing Physician Engagement

Mobile Healthcare IT Adoption: Strategies to Secure Physician Engagement According to the 2016 Red Hat survey, investment in mobile applications by healthcare organizations are paying off, with 78% of organizations surveyed reporting a positive return on their investment.   With these positive returns, adoption of mobile healthcare applications is only expected...

The Impact of Escobar on FCA Healthcare Cases

Recently, the Supreme Court (“the Court”) considered whether whistle-blowers and the government should be allowed to bring False Claims Act (“FCA”, “the Act”) cases under the implied false certification theory. In a unanimous decision in Universal Health Services, Inc. v. United States ex rel. Escobar et al. (“Escobar”) issued on...

Coding and Documentation Compliance Series

Provident’s Coding and Documentation Compliance Series featured three (3) webinars focused on documentation standards, coding best practices and ways to ensure inpatient hospital based reimbursement aligns with the care being provided. The third webinar in the series, 2016 Coding Clinics & FY 2017 IPPS Final Rule: Key Changes covered the...

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Leveraging our deep operational experience and real world understanding of the regulatory landscape, Provident partners with our clients to meet the diverse challenges of the evolving healthcare industry. With proven solutions, expertise, innovative thinking, and specialized tools and techniques the Provident team works collaboratively with clients to optimize their financial and operational performance.

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