Thought Leadership from the FHAS Team 

02 February

5 Ways to Tackle an Appeals Backlog

by Jim Bobeck Government and commercial backlogs may occur quickly and without warning. A sudden spike of appeals can arise due to a seemingly innocuous…

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10 January

Meltdown and Spectre

by Andrew Witchger The Issue While it might sound like the James Bond franchise just released a new movie, Meltdown and Spectre are the names…

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05 January

ERISA External Reviews: Statutory Mandate for Legal Experts in Coverage Determinations

By Jim Bobeck As a law, ERISA is a complicated hodgepodge of many provisions regulating pension, health plans, and patient protections. Tucked away in paragraph (d)(2)(iii)(B)(1)…

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20 December

Keep Calm and Carry On: Why Artificial Intelligence Is Not Going to Take Your Job

By Andrew Witchger   “Elon Musk’s Billion-Dollar Crusade to Stop the A.I. Apocalypse” “More than 70% of US fears robots taking over our lives, survey…

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17 November

Medicaid: Serving All

By Lauren Bremer When it was first created in 1965, Medicaid was intended to insure low income individuals. Since then, it has grown vastly, now…

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10 November

5 Signs That You’re Not Truly Using Agile Methodology

By Andrew Witchger The daily stand ups are longer than 15 minutes. The idea of a daily stand up is for each team member to…

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01 November

6 Thought Leaders You Should Already be Following on LinkedIn

By Lauren Bremer LinkedIn has become the place for healthcare professionals to network and stay current in thought leadership. To get started, here are six…

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27 October

Staff Up or Contract Out?: The Government Agency Dilemma

By Jim Bobeck For any state agency facing new work or spikes in existing work volumes, a critical question must be asked: Do we staff…

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20 October

5 Reasons Why You Need an IRO Even If You Aren’t Under a CIA

By Jim Bobeck   Build the ark before it rains, not after. Many companies wait for litigation to hit their door before retaining external IRO…

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29 September

Back to Basics: Medicare vs. Medicaid

By Julia Saunders “The moral test of government is how it treats those who are in the dawn of life, the children; those who are…

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19 September

Involving Attorneys in your Physician Peer Review: A Wise Investment

By Nicole Bednarek and Jim Bobeck Why would an IRO bring an attorney into the peer review mix? The reason is pretty simple: Physicians write…

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15 August

IROs and Healthcare Fraud Investigations: An Ounce of Prevention is Worth a Pound of Cure

By Jim Bobeck The scrutiny grows Think federal OIG investigations won’t affect your healthcare company? Think again. Google any variation of OIG investigations, Medicare settlements,…

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03 August

When Malware Met Healthcare

By Lori Bolesta, System/Network Coordinator Recent newspaper headlines have featured countless stories about malware attacks hitting organizations from all business sectors on a global scale.…

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21 July

Is a single payer system the answer to U.S. health care cost woes?

By Paula Bergstrasser Proposed changes to federal health care legislation have sparked a national debate about the rising costs of health care. Recent headlines prompt…

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14 July

The Legal IRO Review—a great tool often overlooked

By Jim Bobeck Most beneficiaries come in contact with an IRO (Independent Review Organization) through their health insurance plan or TPA (third party administrator). A…

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05 July

The mistake as the great learning tool

By Jim Bobeck If you work in healthcare reimbursement long enough, you’ll notice a major theme. There are a lot of mistakes—missing documentation, lack of…

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23 June

CMS Encouraging Heart Health Through Supervised Exercise

By Janice Bohan In a surprising move by the Centers for Medicare and Medicaid Services (CMS), supervised exercised programs will now be covered by CMS…

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09 June

AI in Healthcare Summit

With just over two weeks to go, FHAS is looking forward to the AI in Healthcare Summit. Join us in San Francisco to hear from…

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01 June

Cogno-Solve as a means of “creative destruction”

By Keith Saunders In 2017, “disruption” has become a familiar buzzword in the world of business. Every new product or software release promises to be…

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