Healthcare digest

Stay up-to-date on the latest trends and regulations in the healthcare industry with help from the specialists at Mazars in the US.

Episode 14 - Strategies to avoid provider burnout

In this installment of Mazars' Healthcare Digest, CJ Ehrentraut and David Turner discuss strategies to avoid medical group provider burnout in a post-COVID world.

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Episode 12 - Visual risk assessments for provider compensation arrangements

Physician compensation arrangements are highly regulated, and when an organization is noncompliant the consequences can be catastrophic. Healthcare consulting Director Jacki Jacox shares how you can leverage a heat map methodology to mitigate risk.

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Episode 11 - Mazars healthcare digest: Preparing MCOs for the I/DD Carve-in

Federal developments have spurred states to shift access and spending for services for those with intellectual and development disabilities (I/DD) from institutional to home and community based settings. Mazars Director Justin Frazer and Snr. Consultant Val Tuerk discuss the impact of this change and key operational considerations for managed care organizations.

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Episode 10 - California Provider Appointment Access Survey (PAAS) Update

Learn about recent changes to the methodology that may impact your organization and best practices you can employ to help PAAS go smoothly.

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Episode 9 - Productivity staffing

What is Productive Staffing, an FTE, and what are some common pitfalls to avoid and KPIs to measure against? Our specialists explain more.

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Episode 8 - HITRUST Certification, Ransomware, and Third-Party Risk

What is a HITRUST Certification and how can its framework help healthcare organizations prevent ransomware attacks and minimize third-party risk? Watch this Mazars Healthcare Digest video to find out!

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Episode 7 - HCC Coding Recapture

Hierarchical condition category (HCC) coding is a risk-adjustment model originally designed to estimate future health care costs for patients. The Centers for Medicare & Medicaid Services (CMS) HCC model was initiated in 2004, but is becoming increasingly prevalent as the environment shifts to value-based payment models.

Tracking HCC recapture is a critical part of a successful risk adjustment program as it provides actionable population health metrics: uncovering potential gaps in either access to care, care provided, or documentation thereof. Monitoring changes in the metrics allows plans to support their provider partners in setting-up targeted programs to understand and remediate the root cause(s) disrupting care. This, in turn, stabilizes risk adjustment revenue year over year, ensuring care is provided to meet the patients’ clinical needs. Furthermore, if conditions related to HEDIS and Stars are treated and under-documented, or even worse, under-treated, the benefits of tracking recapture, and the consequences of failing to do so, become much more serious.

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Episode 6 - Best Practices for Health Plan Internal Audit

What are some best practices for health plan internal audits? Principal Laura Peth and Senior Consultant Jennifer St. Marie of the Mazars Healthcare Consulting Practice discuss the purpose and object of an internal audit, developing a workplan, collecting data, measuring compliance and nonconformance, and more.

Key topics include:

  • -How to determine what to audit
  • -Things to consider before you audit
  • -Internal audit conduct
  • -Sampling
  • -What to review when auditing

Learn more or contact Mazars to connect with specialists to find out how Mazars helps healthcare organizations.

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Episode 5 - 7 HIPAA Compliance Challenges for Healthcare Organizations to Consider

Healthcare data is governed by laws and regulations and it is of utmost importance for organizations to keep it safe. If not protected, it can fall into the wrong hands and it gives a criminal everything they need to commit medical identity theft (The Rise of Medical Identity Theft - Consumer Reports). Small and large organizations face HIPAA compliance challenges and heeding the following seven vital tips can help your organization minimize risks.

  1. The Keep Track of Laws and Regulations
  2. Maintain PHI and Information Secured
  3. Protect Digital Devices
  4. Digital Data and Physical Too
  5. Engage the Enterprise
  6. Monitor BAAs
  7. Investigation Allegations

HIPAA can be difficult to comply with, but it’s a necessity. It is in the best interest of the HIPAA-covered entities to be compliant. Noncompliance is noncompliance, regardless of the organization lacking knowledge or resources. As healthcare and technology continue to evolve, we will continue to encounter new and old challenges. Maintaining HIPAA compliance can be burdensome for any size organization and if anything, past noncompliance matters and HIPAA breaches have taught us that all organizations on susceptible to risks and big fines.

Mazars specialists from the Healthcare Consulting Practice, Diana Ramirez and Justin Frazer, discuss this and more in this Mazars Healthcare Digest video. Learn more or contact Mazars to connect with specialists to find out how Mazars helps healthcare organizations.

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