I am always searching for great resources for current information about healthcare compliance and there are a couple of live weekly online shows that I listen to on a regular basis. One of my favorites is “Finally Friday” presented by Appeal Academy. Have you ever heard of this show? Moderators are: Ernie de los Santos, MBA, SSA, SAC-Faculty Chair at Appeal Academy, Sharon Easterling, MHA, RHIA, CCS, CDIP, CPHM and William Malm, ND, CMAS .
I’ve had the opportunity to listen to some really great discussions. Two weeks ago their guest was Dr. Pahuja, former RAC auditor and founder of Aerolib Healthcare Solutions, who presented the results from his 2-Midnight Rule Quiz (you can take the quiz here). Prior to that show, there was an exceptional presentation by Bill Malm of Craneware who shared this webinar (for FREE) OPPS Final Rule for CY 2014 Overview.
But the show that REALLY caught my attention originally aired Friday, January 31, 2014. The featured guest was Paul Flanagan, JD, MHA, CPC- Compliance Officer for Abington Memorial Hospital in Pennsylvania. Prior to the show Paul made available several free downloads such as slides from the webinar, 39 Watchdogs Lists, PHI Checklist, a Hospital Department Risk Assessment Survey and even a Detailed Compliance Workplan that can be used to plan, document, manage and execute a complete Compliance Workplan for any size hospital.
It was a terrific show with valuable information and great participation by the audience. At one point in the show the discussion addressed problems faced by compliance officers and the best tools and available solutions on the market today. The highlight of the program, for me, was an exchange between Paul Flanagan (Abington Hospital) and Bill Malm (Auditor at Craneware) where REVEAL/md™ was discussed as a solution that Abington Memorial Hospital had found. Described as ”Elegant” by one of the physicians from Abington, both Paul Flanagan and Bill Malm were in agreement that hospitals live in a silo environment and compliance officers need tools like REVEAL/md. This was not a paid advertisement, but definitely music to my ears as I strongly believe every hospital should be using REVEAL/md.
This was a really great discussion and I hope you will take a moment to listen to the recording in its entirety, but for the benefit of some of our hospital clients currently using REVEAL/md let me share some direct quotes from the show.
(Referring to REVEAL/md) “I think it’s a slick tool…it’s a way to get some powerful analytics to help you look at this risk…” Ernie de los Santos. Moderator.
The reality is, we’re [Compliance Officers] not always bringing the best news…[having something] more visual is helpful…this [REVEAL dashboard] is more palatable to me…” -Paul Flanagan, Abington Memorial Hospital
“I want to say a few things as an auditor. He [Paul] is exactly right. What we struggle with is a lack of direction in the audit. If we do have findings, it’s piecemeal. hospitals live in a silo environment. This software [REVEAL/md] or a well constructed audit plan that is given to the auditors internal and external from a compliance officer is always a welcome outcome…” -Bill Malm.
(In a discussion about hospital departments) “…..There’s never a cohesive pattern, …there’s never a cohesive outcome. It’s all fragment. Fragment… Fragment… Fragment. The compliance officer has almost taken a new role in not so much defending the hospital but setting up a pattern of behavior within the hospital where people actually have to have systematic processes that are sustainable and an outcome that is measurable and I think that’s the key.”-Bill Malm.
I’d like to say “thank you” to everyone who was listening to the show that reached out to us to let us know that industry experts were actually having a live discussion about what they liked most about REVEAL/md. It’s exciting to us… that it is exciting to you!
If you’re hearing about REVEAL/md for the first time and would like to find out more, please email me at or call me at 414-405-5517.
REVEAL/md is the first BI solution that is designed specifically for compliance departments to proactively identify risk. Every year payers audit and recoup millions of dollars from hospitals and medical groups across the country. These auditors utilize specific methods to quickly pin-point what physicians they should focus their review, these same techniques are included in our solution. REVEAL/md helps you look at your physicians like an auditor so you can keep every dollar that is yours.