Blog | Conference Panel

Why PECOS Required for Medicare Enrollment?

If you wonder how to enroll in the Medicare program, you should be informed that there are two ways to enroll. The first one is by completing the Medicare paper application form appropriately, and the second one is PECOS. PECOS stands for Provider, Enrollment, Chain, and Ownership System, and it all... View More

Credentialing Webinars

Provider credentialing is essential for ensuring that healthcare providers meet necessary standards. Here, we have elaborated on different elements of credentialing that will help healthcare professionals navigate several challenges related to credentialing. Hospital DEI: Bias in Credentialing ... View More

Professional (Mis) Behavior: What Codes Of Conduct Can Do

When creating an annual budget, addressing workplace ethics is often overlooked. However, the Association of Certified Fraud Examiners (ACFE) reports that businesses can lose up to five percent of annual revenue to fraud. For large companies, corruption is a major issue, while smaller businesses fac... View More

NATIONAL PRACTITIONER DATA BANK(NPDB): EXPANDED REPORTING PARAMETERS

The Health Care Quality Improvement Act (HCQIA) of 1986 created the National Practitioner Data Bank (NPDB), which collects essential information about healthcare providers, such as disciplinary actions and malpractice claims. Congress established HCQIA to address the rise in medical malpractice case... View More

New Privacy Requirements Imposed on Providers by Reproductive Healthcare Ru

The HIPAA Privacy Rule just got a significant upgrade, especially when it comes to safeguarding reproductive health information. Now, anyone handling this sensitive data needs to get up to speed with the latest changes. These include stricter rules on how PHI can be used and shared, a new requiremen... View More

Revising The Medicare Hospital Inpatient Prospective Payment Systems (IPPS)

On April 10, the Centers for Medicare & Medicaid Services (CMS) issued the proposed rule (CMS-1808-P) for the Inpatient Prospective Payment System (IPPS) for Fiscal Year 2025. This proposed rule includes updates to payment policies and rates for acute care inpatient hospital services under Medicare.... View More

Revised Regulation from OCR and CMS Ensuring Equal Treatment under Section

The U.S. Department of Health and Human Services (HHS), along with the Office for Civil Rights (OCR) and the Centers for Medicare & Medicaid Services (CMS), made a big decision on April 26, 2024. They created a final rule under Section 1557 of the Affordable Care Act (ACA). This rule is about stoppi... View More

Ensuring Compliance Adapting Your Business to ISOs Revised Climate Change R

Climate change is no longer a concern reserved for environmentalists; it has become a critical issue for businesses across all sectors. The discourse surrounding greenhouse gases, corporate carbon footprints, global warming, and their impact on the planet has been ongoing for decades, involving dive... View More

What are the 4 Principles of Informed Consent

Imagine standing at a crossroads, with multiple paths before you, each leading to a different outcome. Informed consent is your map and compass, guiding you through every medical decision with clarity and confidence. Informed consent is a keystone of ethical medical practice, staying on the principl... View More

Navigating EMTALA: Guidance for Hospitals and Patients

EMTALA, the Emergency Medical Treatment and Labor Act enacted in 1986, stands as a pillar of healthcare accessibility in the United States. It ensures that emergency medical facilities must provide treatment and stabilization to anyone seeking care, irrespective of their ability to pay or insurance ... View More

Embracing G2211 and New Billing Strategies for 2024

Imagine a doctor's visit where the physician spends a lot of time with you, really digging into your health needs. That's what HCPCS add-on code G2211 and New 2024 Billing Opportunities are all about. It reflects the time, effort, and resources doctors put into visits where they build long-t... View More

OMHSAS Provides Telehealth and Medicaid Update - RCPA

In the wake of the COVID-19 pandemic, the landscape of healthcare delivery has undergone a profound transformation. Among the most notable shifts is the widespread adoption of telehealth and Medicaid services. The Office of Mental Health and Substance Abuse Services (OMHSAS), in conjunction with the... View More