Services
Peer Review Services
Credentialing System Design
MS Integration/Restructure

Publications

The Joint Commission Implements New Conflict Management Standard   (1/26/2009)
A new hospital accreditation standard that addresses conflict management was implemented recently by The Joint Commission ("TJC"). Leadership Standard LD.02.04.01 ("Standard") requires hospitals to "manage conflicts between leadership groups to protect the quality and safety of care." The new standard took effect January 1, 2009.

DNV Healthcare Approved by CMS as New Hospital Accrediting Organization   (9/30/2008)
In the September 29, 2008, Federal Register CMS published notice that DNV Healthcare has been approved by CMS as a hospital accrediting organization.

Poliner on Appeal: From $366 Million to $0   (7/25/2008)
On July 23, 2008, the U.S. Fifth Circuit Court of Appeals in Poliner v. Texas Health System reversed the district court’s now infamous ruling in favor of Dr. Poliner and held that HCQIA immunity applied to the defendants.

  
Services
Recovery Audit Contractors 
Hospital Support
Physician Office Support
Ambulatory Surgery Support 
HIPAA Privacy & Security

Publications

CMS Publishes New Modifiers for Outpatient Never Events, Clarifies Hospital Acquired Conditions   (6/19/2009)
Recently, CMS has introduced three new modifiers for use with never events identified by the National Quality Forum (NQF). These went into effect January 1, 2009, as part of the list of valid modifiers.

New HCPSCS Code: C9899 (Implanted Prosthetic Device, Payable Only for Inpatients Who Do Not Have Inpatient Coverage)   (2/11/2009)
New HCPCS code C9899 (implanted prosthetic device, payable only for inpatients who do not have inpatient coverage) was effective for services furnished on or after January 1, 2009.

Recovery Audit Contractors (RAC)   (2/3/2009)
The RAC program mandated by the Tax Relief and Health Care Act of 2006 will roll-out nationwide no later than January 1, 2010. It is anticipated that Ohio will be one of the last states in Region B to "roll-out" the program.