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Feb. 16, 2011

Today’s issue is brought to you by The HCCA-AIS Medicaid Compliance News, monthly news and valuable how-to strategies for identifying and reducing today’s top Medicaid compliance risks.

Today's Featured Story

N.Y. OMIG: Providers Can’t Always Blame Third-Party Billers for Inaccurate Claims
Reprinted from The HCCA-AIS Medicaid Compliance News

Vendors that handle Medicaid claims submissions, eligibility verifications and service authorizations can land their provider-clients in hot water if they don’t comply with a New York regulation, the state’s Medicaid Inspector General Jim Sheehan said in a recent webinar. The issue now has implications nationwide since Sec. 6503 of the health reform act called for medical billing companies to become registered. That means Medicaid providers everywhere should start asking themselves questions about their billing processes if they have a contractor doing the work for them .... Read Full Story


Quote of the Day

“True transparency [in terms of organizational conduct] is being able to show how you made a decision and that it was made without inappropriate influence. It is a collective process and a set of activities and attitudes that come from the top….It’s a 30,000-foot goal of being forthcoming and being aboveboard and showing good faith in your decisions and efforts. There are ways organizations can demonstrate they have good ethics and decision making, such as having a good conflict of interest review process. You can hold that out as proof you are being transparent and ethical.”

— Cheryl Rice, vice president and chief corporate responsibility officer for Catholic Healthcare Partners, told AIS’s Report on Medicare Compliance.



Today's Datapoint

45% … of the 3,000 physicians surveyed by HCPlexus Thomson Reuters did not know what an “accountable care organization” was.



Today from Washington

People on the Move

Assurant, Inc. appointed Alan Colberg executive vice president, marketing and business development, effective March 28. Colberg was a co-founder of Bain & Company, Inc....SIGA Technologies, Inc. named Daniel Luckshire executive vice president and chief financial officer. He was managing director at Daniel J. Luckshire LLC.


Today's Featured Health Business Job Opening

Aegis Medical Systems, Inc.
Clinic Director / Program Manager
Santa Barbara, Calif.

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