Home > Blog Tag

Blog Posts by Tag: Compliance

Outsourcing All or Some of the RCM Process Supports Compliance

The healthcare industry is notorious for nearly constant changes in laws, regulations, government, and payor requirements. It is difficult for an individual diagnostic provider to keep up with all the changes, particularly as it relates to compliance. Any compliance misstep can result in lost revenue, fines, and even extreme penalties like debarment, corporate integrity agreements, and criminal...

Read


Must-Have Compliance Capabilities to Manage Risk and Help Drive Growth

Must-Have Compliance Capabilities to Manage Risk and Help Drive Growth Thorough RCM processes address a myriad of compliance issues that can cost an organization money, business freedom, and even exit opportunities. Compliance requirements are continually changing, and any misstep could result in lost revenue, fines, and even extreme penalties such as debarment, corporate integrity agreements,...

Read


Leverage the Criteria Black Book Research Uses to Select the Best Outsourced RCM Services Provider for Your Organization

This blog is part of a series. Read Part 2 and Part 3. Although diagnostic organizations continue to improve in their ability to make decisions regarding outsourcing revenue cycle management (RCM), many may still benefit from guidance on the most impactful decision criteria. Black Book Research conducts an annual study to understand how diagnostic leaders perceive service providers across 18...

Read


Addressing EKRA Sales Force Compensation Mandates to Improve Both Compliance and Profitability

EKRA - Eliminating Kickbacks in Recovery Act - is a relatively new law that has some important implications for all diagnostic laboratories, and not just toxicology labs, which precipitated the legislation. Passed in October 2018, it was widely understood the law was intended to combat the opioid crisis. Recently, due in part to COVID-19 and government concerns over fraud and abuse, there has...

Read


Seven Factors to an Effective Compliance Program

This is the second article of a multi-part series on the many dimensions of compliance related to diagnostic providers, independent device testing facilities (IDTFs), and hospital outreach laboratory services. The responsibility of compliance does not rest on the shoulders of one individual or committee. Compliance responsibility for laboratories, IDTFs, pathology practices, and hospital outreach...

Read


Building an Effective Compliance Program and Compliant Diagnostic Systems That Work: An Overview

This blog was updated on July 8, 2022. The healthcare industry is in a state of constant change in laws, regulations, reimbursement and payor requirements, and commercial and patient expectations. It is hard for any individual healthcare provider to keep up with all of these changes. The diagnostic business, in particular, is under pressure to stay in compliance. Over the course of the next...

Read


Ensuring Oncology Practice Compliance with the No Surprises Act

The adverse impacts of surprise billing have garnered significant national attention, culminating in rare bi-partisan supported legislation that directly impacts community oncology practices. The No Surprises Act was signed into law as part of the Consolidated Appropriations Act of 2021.Surprise billing occurs when patients unknowingly receive either emergency or non-emergency care from an out-of...

Read


Five Steps to Capture Lost Revenue for Hospital Outreach and Outpatient Services | Part 4: Establish Universal Compliance in RCM

This blog post is part four of a five part series. View Part One, View Part Two, View Part Three, View Part Five. Running afoul of regulatory compliance requirements is a significant concern for hospital administrators and finance leaders—with good reason: the consequences can be steep. For example, in June 2020, a Georgia-based hospital system agreed to pay $16 million to settle multiple...

Read