Hayes' Healthcare Blog

Ignore the Buzzwords – Why a Strategic Approach to Advanced Analytics Provides a Return

Posted by Chris Harper on February 17, 2016 at 9:00 AM

Chris Harper, Director Business Architecture and Analytics, University of Kansas Hospital

There’s no doubt that advanced analytics has become an integral component for business decision making today and the healthcare industry is no exception. The problem is that we can sometimes be hypnotized by buzzwords like “big data” and “predictive analytics” and lose sight of the real goal of an effective analytics strategy. When that happens, organizations can end up throwing dollars and investment assets at a program without investing the necessary time and thought up front to build a solid strategy for their analytics initiatives.

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Topics: Data analytics, healthcare technology, strategic planning, Hayes Thought Leadership Blog Series

Understanding and Leveraging the 2016 OIG Work Plan

Posted by Robert Freedman on February 10, 2016 at 9:00 AM

In fy2015, the Office of Inspector General (OIG) recovered more than $3 billion in audit and investigative receivables as a result of their oversight activities. That’s great news for U. S. taxpayers but not so wonderful for the many hundreds of provider organizations that had to dip into their shrinking revenues to come up with these repayments.

If you are among the many organizations that took a proactive approach to auditing by following the recommendations laid out in the OIG annual Work Plan, chances are you avoided that expensive fate.

Each year the OIG releases its internal Work Plan detailing areas of emphasis for their yearly compliance audit activities. Providers who begin to focus their audits on the risk areas the OIG has outlined sooner rather than later, stand a much better chance of addressing issues before they have a problem with government auditors. Following such a strategy allows you to self disclose overpayments and pay back the government prior to an official oversight audit. Even better, focusing on these high-risk areas early helps you avoid overpayment problems even before they occur.

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Topics: audit preparation, Office of Inspector General, paybacks, compliance monitoring program

Who’s Next? The 3 M’s of HIPAA Compliance Audits

Posted by Corliss Collins on February 3, 2016 at 9:00 AM

Minimize Liability, Mitigate Risk and Maximize Safeguards

Corliss Collins, RHIT, CCA, CBCS, Senior Healthcare Consultant, AHIMA Approved ICD-10 Trainer /Ambassador

HIPAA compliance audits pose significant challenges for hospitals, healthcare providers, health plan administrators and business associates.  The Office of Civil Rights, (OCR) Phase II Audits will begin early this year and, will focus on organizational privacy, security, and breach notification policies, procedures and practices.

Healthcare organizations need to be prepared to undergo greater scrutiny in three key areas, including written policies, procedures and practices that address HIPAA compliance risks, and vulnerabilities. Are HIPAA compliance audits and risk assessments being performed regularly? How is documentation of HIPAA breach incidents within your organization responded to?

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Topics: compliance, HIPAA, Audits

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