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MNsure, Minnesota's State-based Health Insurance Exchange Seeks Compliance Coordinator

By John Nyanjom posted 04-21-2015
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Title: State Program Administrator Senior Working Title: Compliance Coordinator Agency: MNsure Location: St. Paul, Minnesota Closing Date: 5/11/2015 https://statejobs.doer.state.mn.us/JobPosting/View?_posting=15MSUR000022 The Compliance Coordinator will be an essential team member of the compliance team within the Legal/Compliance Department. This position will support day-to-day compliance functions executed throughout MNsure in accordance with the compliance strategic plan for the organization. Specifically, this position will support complaint processing from all sources, the design and publication of reports ...
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What's wrong with the following statement?

By Steve Paterson posted 03-10-2015
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See the original eGroup Post
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Minimum Necessary

By Sandra Miller posted 03-02-2015
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My first post so nervous to push "publish". I need your advice: Regarding HIPAA and minimum necessary we have a split interpretation within our Privacy and Security committee regarding the following scenario: Tech works patient up before seeing the physician. That is the end of his/her need to access the patient medical record. After the patient leaves, the same tech accesses record to see what the diagnosis is for learning purposes. Usually the same day. Interpretation one: It’s a good learning opportunity for the techs on the job which their Supervisor nor the doctor would have time to provide to them otherwise. ...
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Employee Compliance Program Survey

By Steve Paterson posted 03-02-2015
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See the original eGroup Post
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Anyone Taken the Exam for the Third Time?

By Renita Bean posted 02-23-2015
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I have taken the test and missed passing by three and seven points. I am planning to retake it again in June. I will pass! I would like to join a study group to help me reach this milestone.
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System Activity Review - Software

By David Rothery posted 12-27-2014
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Much to my chagrin, it appears that a part of out EHR does not have the function to conduct system activity review of access, amendments, deletions etc... a few years ago I was told that there was software that could be used by us to conduct these activities as long as we have an on-site self hosted server (which we do). the name of the software escapes me. Does anyone know of this software or any software that can perform this function?
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http://cartelcapers.com

By Robert Connolly posted 09-18-2014
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I have a blog on antitrust/competition and compliance matters. http://cartelcapers.com
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Recruiting Ideas

By Susan Dahl posted 08-20-2014
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My organization is currently recruiting for a compliance auditor is having a difficult time finding applicants. The position would work with billers, coders and physicians, reviewing documentation vs. codes, and co-teaching a coding class. We've advertised with AAPC and HCCA. Any other thoughts about where we might find additional qualified candidates? You can email me offline with suggestions. Susan Dahl California Rural Indian Health Board
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3D ! Watch Maleficent Full Movie 2014 Free Online.

By Bombay babu posted 06-08-2014
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Watch Maleficent Full Movie 2014 Free Online In a segment on Jimmy Kimmel Live, the show riffed on the rapper's name by showcasing him in a spoof of the new Disney movie Maleficent. Watch: 50 Cent Spoofs 'Maleficent' On 'Jimmy Kimmel' Watch Maleficent Full Movie Holla, children, when attempting to rehabilitate a cartoon villain. Or when updating a fairy tale or beloved classic fantasy story. For you tread on treacherous ground, and a successful completion of your quest is far from certain.As a warning to you all, behold Maleficent, the “true story” behind Disney’s 1959 Sleeping Beauty, and the lesson not learned from Disney’s previous ...
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(((Watch))) The Fault in Our Stars movie Online Free[HD]

By Bombay babu posted 06-08-2014
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Watch The Fault in Our Stars Online Free Complete Stream Putlocker Best One Right Now. Watch The Fault in Our Stars Full Movie 2014 Online.Watch The Fault in Our Stars Online Free. Watch The Fault in Our Stars Online Free.Watch The Fault in Our Stars Full Movie 2014 Online.Watch The Fault in Our Stars Online Free. The Fault in Our Stars Movie Details : Watch The Fault in Our Stars Online movie Director Josh Boone’s adaptation of John Green’s bestselling novel about two teenagers who meet at a cancer support group and fall in love, The Fault In Our Stars is engagingly plotted and anchored by rich characterisations — a swollen tearjerker that ...
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Tips for Best Healthcare Compliance at Your Dental Practice

By Bruce Roget posted 05-31-2014
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image source Healthcare compliance is extremely important and you should take all possible steps to minimize government scrutiny and liability risks. It is necessary you eliminate the occurrence of wrong and forged patient records, poor physician documentation and ensure safety and security of all patient information. Your practice needs to be compliant with the latest government regulations, laws, guidelines and policies. Dental practices need to ensure that insurance claims and processes are clean , honest and compliant to the government and payer requirements. This prevents accusation of insurance frauds and malpractices. Compliance ...
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Angry Tweet Infuriates Kansas Board of Regents

By Eric Schwartzman posted 05-27-2014
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When state legislators threatened to cut funding to the University of Kansas because a journalism professor sent out an angry tweet blaming the NRA for the Washington Navy Yard Shooting, the Kansas Board of Regents issued a Draconian social media policy to try and deter faculty and staff from saying anything that could encite scrutiny from elected state officials. The issue that provoked the Regents to take action was gun politics, but the concern among educators is politicians could try and control the conversations about a host of issues of public importance by threatening to cut funding. The first draft of the Kansas Board of Regents social media policy ...
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RE: OIG Employee Background Checks

By Steve Paterson posted 04-11-2014
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A few years back, following receipt of a memorandum from HHS on OIG screening expectations, the State Medicaid Directors started posting notices in the Medicaid Bulletins advising Medicaid providers that they were expected to conduct the OIG screening on employees, contractors, and practitioners on a monthly basis. I believe you will find that it is now mandatory in most states if you do business with Medicaid.
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Federal Sentencing Guidelines--HYPOTHETICAL

By Steve Paterson posted 02-21-2014
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I have to assume that all of us will eventually encounter a high level manager who wants to block our goal of doing the right thing. Here is one solution that has worked well for me for10 years. I used a selection of interview questions from varuious auditing tools and developed an Audit Questionnaire that I send to all levels of staff throughout the organization, including President/CEO, VPs, Directors, Business Office Managers, billing and coding staff, etc. The questionnaire requires each individual to answer very straightforward questions to disclose any suspicious business activities and any gray areas we may be operating in. I've added several questions ...
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Compliance Program Assessment Invitation

By Rachel Huveldt posted 01-15-2014
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Hi Frank, Please add me to your list of individuals receiving a sample assessment tool. Thanks
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HCCA Basic Compliance Academy

By Kristi Ford posted 12-04-2013
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Does anyone know what the dress code is during the HCCA academies? Are jeans permitted?
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A few spots open...

By Zorana Vojnovic posted 10-25-2013
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See the original eGroup Post
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More Time with Patients Just One Perk of Direct Primary Care

By Ted Levin posted 09-03-2013
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It is being called “concierge medicine,” as physicians begin to treat patients on a cash-only basis. As the healthcare reform continues to struggle onto its feet, the red-tape involved in negotiations between doctors’ offices and a plethora of differing insurance companies has caused many physicians frustration. In an attempt to see more and more patients to cover increasing costs, including a larger billing staff to work with insurance providers, doctors are losing valuable time with the patients they already treat. This has caused a growing number of doctors and patients to turn to a cash-only system through direct primary care options . One such ...
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How to Deal With Conflict in Dental Clinics

By Paul Newman posted 08-07-2013
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Dental clinics are busy places. An array of personnel are available to keep them going, with high-pressure situations and multitasking being the norm for all of them. The clinics are also close-knit places. All of which means the potential for conflict is always present. Managing conflict is an acquired trait; nobody is born with the knowledge of how to do so. And since conflict is inevitable, whether in personal relationships or professional settings, it is best to learn how to deal with it head on. If allowed to fester, differences may turn into grudges, thus vitiating the work environment for everybody. ...
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Healthy Reasons to Grab A Nap

By Gracie Allen posted 07-16-2013
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I'm a huge proponent of the power nap - the 20 minute nap in the middle of a hectic workday to help top off your energy levels. I've used it for years, and I always feel fantastic when I jump out of bed and get back to work. If you're tired, no doubt that an Tempurpedic or Essentia mattress is looking pretty tempting right now. You may want nothing more than to take a quick snooze, and you should do it! There are a lot of reasons that taking a nap is good for your health, such as: Increased alertness -- When you're tired, your brain just doesn't work ...
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