Electronic Medical Billing Software and Service Compliance With Pre-Payment And Post-Payment Audits

Mistaken payments add up to an estimated $200 billion, exceeding 10% of national healthcare costs. A payment scrutiny program to avoid mistaken payments can be as successful a profit-building strategy for insurance companies as raising premiums or adding members. However, avoiding mistaken payments is hard because of the volume of claims, the disparate and disconnected sources of relevant information, the resource-intensive manual processes needed to identify and investigate recovery opportunities, and regulatory requirements for timely payments. A full-scale implementation of payment scrutiny strategy requires sophisticated processes to handle prepayment claim review and post-payment audits and uses advanced fraud detection technology similar to those used in credit card fraud detection.

Change Management in Regulatory Agencies

Change Management in regulatory government agencies can be extremely serious indeed. For instance take the resigning of Minetta from the Department of Transportation or resignation Powell from the Federal Communications Commission and you can understand what I am getting at.

Aircraft Washing and Regulatory Issues

Perhaps you are a pilot or just love aircraft and you want to start a business washing, cleaning and detailing general aviation aircraft such as single engine, cabin class twins and private or corporate jet aircraft? There will be things that will be required of you by the local airport in order to get an activity permit, as well as some regulatory issues.

SEC Wanted More Board of Directors Who Were Not Insiders; Unintended Consequences Again

The Securities and Exchange Commission thought it might be a nifty idea for Corporate Board of Directors to have fewer insiders on them so they would serve the will of the shareholders and not allow corporate executives to do so much hanky panky and keep getting such big bonuses.

The BAFE SP203 Standard for Fire Alarm Systems

An important change in legislation is set to introduced by the Chief Fire Officers Association (CFOA). A Unique Reference Number (URN) will be required by Fire Brigades before responding to a fire alarm. URNs can ONLY be issued for systems installed and serviced by a BAFE accredited company.

7 Steps To NPI For HIPAA-Compliant Electronic Medical Billing Software And Service

HIPAA's Administrative Simplification provision becomes mandatory on May 23, 2007. It requires all health care providers to obtain a National Provider Identifier number or NPI. Getting NPI is free - not having one can be costly: If you delay applying for your NPI, you risk your cash flow.

5 Facts About NPI For HIPAA Compliant Electronic Medical Billing Software And Service

The 1996 Health Insurance Portability and Accountability Act (HIPAA) established national privacy and security standards for electronic health care transactions, including a national identifier for providers, health plans and employers. Accordingly, by May 23, 2007, healthcare providers and all health plans and clearinghouses must change both their processes and information systems to implement HIPAA's National Provider Identifier (NPI) regulations.

Chiropractic Office Billing Audit Motivation and Methodology

In its January 2007 issue, Today's Chiropractic examines an unprecedented growth of post-payment audits by insurance companies. It appears that for payers the motive is money, the means is a gargantuan statistical database, and every provider is an opportunity. To manage audit risk, providers need a system, modeled on the insurers' own, which stores claims data and generates reports for the benefit of participating providers.

Ignoring ADA Could Cost Your Business a Bundle

Virtually every business is in violation of the ADA, it is a real problem that you should be aware of, especially if you own and operate business or own any commercial property.

Taxi 'Recap' - The Short Version; Part 1

Weaned on the belief that 'talking politics' in public might get me locked up (due to the supposed vigilance of Apartheid spies) providing objective, critical analysis of government policies is not always easy, but here goes...

U.S. Regulation D Securities Offerings for Small Business

What is a Private Placement or Regulation D securities offering? Simply stated, it is against the law to sell stock to the general public unless you are licensed to do so or can qualify for an exemption from the SEC rules. Section 5 of the 1933 Securities and Exchange Act clearly states, it is unlawful for any person, directly or indirectly, to sell a security unless a registration statement has been filed. You may not sell a security or deliver a security after the sale unless a registration statement is in effect. A full registration statement (like used in a traditional Initial Public Offering) is a very expensive and complex document to create and maybe overkill for most small businesses. The 1933 Securities Act does contain some exemptions, as you will see below.

Getting Your New York Mortgage Broker License

New York has one of the most detailed applications for mortgage licenses and one of the longest timeframes in which to get the approval for the license. But the large population in the state coupled with some very high housing prices (and therefore mortgage amounts) make New York one of the most coveted licenses for a mortgage broker that can generate business in that state. Here is some information you need to know to get your mortgage broker license in New York.

Corporate Fraud; We Need More Regulation to Make More Criminals!

Not long ago a Harvard Law professor who admitted on the Sean Hanity Show said that he was indeed a liberal and that point was out of the way in the first question. The Harvard Law Professor stated that Corporate Fraud was out of control and that we needed more regulation in the United States to prevent it.

Prevent the Public Smoking Ban Destroying Your Business

Smoking in enclosed public places will be banned in England from 1st July 2007 following similar bans already implemented in Scotland and Wales. The potential impact of this ban should not be underestimated and could even drive customers away from pubs, clubs and bingo halls to name just a few! Timber Smoke Shelters from Compton prove that smoke shelters don't have to be ugly providing a covered area for smokers to enjoy their habit before easily returning to your premises.