Beginning in 2017, Medicare will start measuring performance under the Merit-Based Incentive Payment System (MIPS) program, as required by Medicare Access and CHIP Reauthorization Act of 2015 (MACRA). Here is what you need to do starting now to prepare for January 2017 to enroll, and be successful. Remember, what you...
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Getting to Know Core Measure SEP-1: Early Management Bundle, Severe Sepsis/Septic Shock
Getting to Know Core Measure SEP-1: Early Management Bundle, Severe Sepsis/Septic Shock The new CMS Core Measure for sepsis (SEP-1) has drawn praise, criticism, and confusion. Providers, documentation specialists, and coders need to collaborate to ensure sepsis is properly documented and treated to ensure compliance with CMS Core Measure SEP-1....
Announcing Provident’s 2016 Healthcare Compliance Webinar Series
Provident is pleased to announce the 2016 healthcare compliance webinar series. Join Provident as we host complimentary 30-minute, lunch break webinars aimed at keeping you and your organization informed on the latest happenings in the healthcare world. 2016 is the year of compliance! Starting with our kickoff webinar in May, the...
How Effective is Your Organizations Compliance Program?
In recent years the healthcare industry has seen a tremendous push in its efforts to encourage organization(s) to develop effective internal controls to monitor compliance with State and Federal regulations. As hospitals and other healthcare organizations continue to face increased scrutiny, Provident has developed a checklist that can be used...
Joint Commission allows texting of orders
The Joint Commission issued a statement Friday on the texting of orders from physicians. Five years ago, the Joint Commission published a FAQ document prohibiting the texting of orders for all practitioners within all healthcare settings. Friday’s statement, however, changed course for the Joint Commission. In their response they stated...
Do you know the new Sepsis Criteria?
The clinical criteria for sepsis and septic shock has been redefined per an article published in the Journal of the American Medical Association (JAMA February 23, 2016). The new criteria is called SOFA (Sepsis-related organ failure assessment), which is a scoring system used to determine the extent of a patient’s organ function...
Ensure your inpatient coding practices are compliant
LIVE WEBCAST: Ben Sayabovorn, Provident’s Manager of Training & Education, RHIT, CCS will be speaking at The Knowledge Group’s LIVE webcast: Disease Coding System Standards (ICD-10): Important Changes You Need to Know and Inpatient Audit Focus Areas to Ensure Compliant Coding Practices. Mr. Sayabovorn will join a panel of practitioners...
9 best practices towards an effective Enterprise Risk Management Program
An enterprise risk management (ERM) program identifies, assesses and quantifies risks posed to an organization. An effective Enterprise Risk Management program utilizes a cross-cutting methodology to prioritize identified risks in addition to finding ways to mitigate, control and monitor them. Provident has identified lessons learned and best practices from developing, assessing and...
CMSA Annual Conference & Expo
Provident looks forward to attending the Case Management Society of America Annual Conference & Expo June 21-23. This year’s CMSA Annual Conference & Expo is in Long Beach, CA at the Long Beach Convention Center. Please visit us in the Ambassador Area at Booth # 536!
Healthcare Check Up: The Importance of Internal Audit & Compliance Program Assessments
With the sea of ever changing healthcare regulations it is important that organizations conduct regular and ongoing internal audit and compliance program assessments. Within the last decade the healthcare arena has witnessed sweeping regulatory changes, including: Compliance with the Patient Protection and Affordable Care Act (PPACA), Implementation of International Classification...