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Tips for Alternative Payment Model (APM) Contract Administration and Negotiation

Tips for Alternative Payment Model (APM) Contract Administration and Negotiation

by Barry Herrin | Compliance, Finance

Using People, Processes, and Technology For institutions entering into the alternative payment model (APM) landscape for the first time, there needs to be an appreciation of what this activity does and does not entail. It does not simply mean that the enterprise can...
Cybersecurity Risk in Health Care

Cybersecurity Risk in Health Care

by Barry Herrin | Cybersecurity, Data security, Electronic Medical Record, Insurance

As published in Health Law Developments, The Newsletter of the Health Law Section State Bar of Georgia Winter 2018 Abstract The need for constant availability and integrity of patient data means that many organizations compromise on privacy and security, often to...
Respond to Federal Recoupment Initiatives by Improving Clinical Documentation

Respond to Federal Recoupment Initiatives by Improving Clinical Documentation

by Barry Herrin | Compliance, Insurance

The concept of ‘low-hanging fruit’ is a motivational factor in Recovery Audit Contractor (RAC) audits. The following diagnoses are some of the most common areas of recoupment activity: Renal and urinary tract disorders Surgical cardiovascular procedures...
Security Incidents and Breaches in the Healthcare Industry (Case Study)

Security Incidents and Breaches in the Healthcare Industry (Case Study)

by Barry Herrin | Compliance, Cybersecurity, Data security, HIPAA

A Case Study in the Lack of Federal and State Coordination As published in the ISSA Journal February 2018. ISSA is the Information Systems Security Association International  Executive Summary: Federal and state laws governing notification of breach of patient medical...
Using Fall Prevention for Phishing Prevention: A New Focus on Patient Safety

Using Fall Prevention for Phishing Prevention: A New Focus on Patient Safety

by Barry Herrin | Cybersecurity, Data security

Fall Phishing Prevention Since before 2013, hospitals and other healthcare facilities knew that falls were a serious problem, and massive resources were marshalled to reduce or prevent patient falls. In January 2013, the Agency for Healthcare Research and Quality...
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