Tag: compliance

Tips for Managing Relationships with Suppliers and Service Providers

By: Jake Jenkins
Date: March 27, 2019
Category: Supply Chain
Filed under: compliance, Contracting, Purchased Services, Suppliers, training, Vendor credentialing, Vendor Management

Managing vendor relationships can be challenging for several reasons. The high volume of manufacturers and suppliers hospital supply chains deal with can be daunting. Distributors and purchasing organizations can help make it more manageable, but with thousands upon thousands of SKUs at any given hospital, they cannot cover all of it. On top of that, […]

Pulse Check: Ensuring ABN Compliance

By: Andrew Minten JD
Date: August 15, 2018
Category: Custom Services
Filed under: ABN, Advance Beneficiary Notice of Noncoverage, compliance, Medicare, Patient Responsibility, price estimates, Pulse Check, Self-pay

As you well know, Advance Beneficiary Notices of Noncoverage (ABNs) are necessary whenever your organization determines that non-emergency Medicare services may not meet medical necessity. This allows the patient to determine if they want to receive the services and it alerts them to how much they may owe if the services are not found to […]

Pulse Check: Departmental Process Adherence QA Only Tells Part of the Story

By: Noelle Wysocki
Date: February 28, 2018
Category: Custom Services
Filed under: check for accuracy, Claim lifecycle, compliance, departmental process adherence on an employee level, Pulse Check, QA

While many healthcare organizations employ QA analysts that routinely check for accuracy, compliance, and departmental process adherence on an employee level, most organizations do not also conduct account-specific QA that follows a claim through the revenue cycle, highlighting opportunities for improvement and training within each revenue cycle area. Situations like this often lead to instances […]