Engage Health Solutions

Join us tonight!
The Advanced Insights Healthcare Townhall goes live at 7:00 PM EST on Zoom.

Topic: Strategies for Compliant CAMP Treatment in a Complex Regulatory Environment
Featuring: William O’Malley, COO, Engage Health Solutions

Don’t miss this opportunity to hear expert insights on compliance, payment integrity, and audit strategies in today’s regulatory environment.

The only constant with compliance regulation is change.

Engage Health Solutions can help. Our team of experts has extensive experience in all areas of the claims process, and we know how to keep you in line with the latest regulations. We'll work with you to develop a comprehensive plan that will minimize your financial risk and maximize compliance.

You need a partner you can trust when it comes to compliance - someone who has created policies and regulations and can help you stay on top of changes as they happen. With Engage Health Solutions, you'll have just that.

Contact us at: [email protected]

Denials are a serious problem for Health Systems. On average 18% of claims submitted will be denied by a Payor.

Engage Health Solutions can help you recoup or retain your payments and keep future denials to a minimum. Our team of experts has experience on both the payer and provider side, so we know how to respond in a targeted manner to achieve the best outcome.

We have a 100% positive outcome rating from our clients, so you can be sure that we will improve your revenue cycle by getting claims paid. Plus, our services have a high ROI and will save you time and money in the long run.

Sign up for a free consultation with Engage Health Solutions today!

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In 2021 CMS released new guidelines in the Medicare Program Integrity Manual addressing voluntary refunds from providers and suppliers. These changes are causing concerns for providers relative to how to address voluntary refunds. Check out our blog to find out why there is so much concern.

CMS Voluntary Refunds -Concerns for Providers CMS emphasizes requirements of providers when payment errors have been identified. Providers need to be concerned about reporting requirements.

Earlier this month the U.S. Department of Health and Human Services and the Health Resources and Services Administration announced the distribution of $9 billion in Provider Relief Fund from a pool of $17 billion. This relief fund is being distributed to healthcare providers that suffered financial loses due to COVID-19. Check out this article to find out more about the relief fund and if your company qualifies.

One More Audit - $10,000 or More in Provider Relief Fund Payments U.S. Department of Health and Human Services announced the distribution of $ 9 billion to Healthcare Providers that experienced losses due to COVID-19.

With the pause of audits ending, auditors are back with aggressive audit activity against all types of Medicare providers and suppliers. Check out the final article of the three part series by Steven Greenspan JD, LLM to find out more on what to expect in the new year. .

Auditor Update: Part III The final part of the three part series on RAC, Program Integrity and other audit activity to prepare providers for what is to come in the new year.

Short-Term Acute Care Programs should be aware of the new Severe Malnutrition target area that CMS added to PEPPER (Program for Evaluating Payment Patterns Electronic Report). Check out our article to find out more about the new target area and PEPPER.

Severe Malnutrition Added to Short-Term Acute Care PEPPER Severe malnutrition is reported to have a high error rate and recently became a focus in the recent PEPPER Reports

Shifting trends among healthcare auditors means one thing in particular for providers: they have to stay on their toes! Check out part two of the three-part series on RAC Monitor by Steven Greenspan JD, LLM and Dr. Robert Glenn.

Auditor Update: Part II Part II of a III part series on RAC, Program Integrity and other audit activity to prepare providers of all types for what is to come in the new year.

Providers and suppliers need to be aware of the new OIG work plan that is looking into fraud, waste, and abuse in the healthcare arena. What is your organization's exposure to costly fines and actions?

OIG Work Plan and Enforcement Actions To protect themselves, providers and suppliers must be aware of powerful auditors looking into fraud, waste and abuse in the healthcare arena.