Healthcare

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Blog

In Latest Report, MedPAC Reiterates Call to Equalize Payments

With health care spending growth still increasing, the Medicare Payment Advisory Commission (MedPAC or the Commission) continues to pursue its mission to advise US Congress on the Medicare program and...

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Blog

Appealing to the New Healthcare Consumer: Use Your Data

As high deductibles and escalating costs drive patients to take a more active role in their health care, providers are waking up to the fact that they need to pay...

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Blog

Data Security Hygiene Practices for a Healthy Practice

One of the first words that come to mind when I think of medical care is hygiene. Let’s face it, poor hygiene practices in a healthcare provider’s facilities can cause...

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Event

27th Annual National Institute on Health Care Fraud

May 18, 2017: Ft. Lauderdale, FL – Join HORNE Healthcare Director Richard Romero, CVA, PAHM, CHFP, and PricewaterhouseCoopers Director Bo Martin as they lead the Health Care Fraud Workshop: Damages and Settlement at the 27th Annual National Institute on Health Care Fraud. 

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Blog

3 Insights from AHLA’s Institute on Medicare & Medicaid Payment Issues

Last week’s sudden pull of the American Health Care Act from House vote caused uncertainty around what’s next for the healthcare industry. This week, the AHLA Institute on Medicare and...

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Blog

How Do Recent Settlements Give Insight into Effective FMV and CR Compliance Programs?

As discussed frequently in compliance and health care conferences and forums and on this page, fair market value (FMV) of payments to referring physicians is an essential compliance requirement of...

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Event

MACRA Success Series

September 8-10, 2017: Ashville, NC – Join HORNE Healthcare Partner Greg Anderson, CPA/ABV, CVA, and Smith Anderson Health Care Head Julian D (Bo) Bobbitt as they co-present MACRA Success Series at the 2017 NCSA Annual Meeting.   

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Blog

2 Best Approaches to Determine FMV of a Healthcare Timeshare Agreement

Consider a small U.S. town that doesn't have local access to a cardiologist. The community can't support one on a full-time basis, so the hospital brings in a cardiologist twice...

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Blog

From MU to ACI: New Acronym, Same Security Expectations

If you are one of the physicians who thought you could sit back and watch the Meaningful Use train pass by—think again. It’s back. And this time, there is a...

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Blog

What Providers Can Expect From "Repeal and Replace"

Last week House Republicans gave us a first glimpse of what they mean by “repeal and replace” of the Affordable Care Act (ACA). Lack of unity in the GOP and...

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Blog

The Provider Must Become the Payer. There Can Be Only One!

A long time ago (the mid-90’s), there was a television series titled Highlander. It was a sci-fi action series whose main character, Duncan MacLeod, hailed from a race of immortals. The...

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Blog

Catalyze Practice Transformation With Pay-For-Performance Contracting

Many physicians are subject to participation in the new Merit-Based Incentive Payment System (MIPS) through CMS’s ongoing payment model reform initiatives encouraging providers to deliver better healthcare at lower costs....

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Infographic

Payment Model Reform Infographic

Are You Prepared For Success In The Ever-Changing World Of Healthcare Reimbursements?

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Whitepaper

New Exempt Employee Rule

The Dept. of Labor projects this new ruling will cost employers an estimated $12 billion over the next 10 years. 

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Whitepaper

Managing FMV/CR Risk

Mitigating the risk of a qui tam relator should be a top priority for healthcare risk management systems.

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Article

MACRA's Effect On Physician Practice FMV

The Effect of MACRA On Physician Practice FMV

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Infographic

Value-Based Compensation

8 Considerations in Moving Employed Physicians from Volume to Value-Based Compensation

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Infographic

What Can't Go On Forever...Won't.

The current healthcare system is headed for a crash. Are you adapting?

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Whitepaper

Hospital/Physician Integration: Creating A Culture of Compliance

The value of building a culture of compliance.

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Whitepaper

RAC Audits: Better Good Than Lucky

Why strong front-end processes generate reliable RAC audit appeals.