Andria Jacobs, RN, MS, CEN, CPHQ

Ms Jacobs is the chief operating officer for PCG Software and has more than 25 years’ experience in the healthcare industry, encompassing both administrative and clinical arenas. Prior to joining PCG, Ms Jacobs was the administrative director, medical management for VertiHealth Administrators. Previously, she was an independent consultant in ambulatory care and practice management, where her clients have included hospitals, physician groups, and the University of California, Los Angeles.

Posts

While it remains to be seen how the Trump administration deals with healthcare fraud, preventing fraudulent practices within your organization should be a priority—unless you want to be held personally liable.
1 week ago
While the Merit-based Incentive Payment System (MIPS) has gone into effect for physicians that participate in Medicare Part B, many questions remain about the practicalities of the program. Physicians could also participate in advanced alternative payment models (APMs), but the vast majority of physicians and physician groups are expected to participate in MIPS.
1 month ago
Despite increased regulations and millions in drug distributor and pharmacy fines, opioid addiction continues to kill more than 33,000 people in the US each year. Opioid overdoses have quadrupled since 1999, according to the CDC. Payers and providers should be doing their parts to stem this tragic epidemic by examining claims data more closely.
2 months ago
No matter who is elected president, the exchanges created by the Affordable Care Act are in need of a fix.
7 months ago
Drug prices are rising faster than any other area of healthcare, but solutions aren't so simple. Easing barriers to competition, promoting approval of generic drugs, and increased transparency would help.
1 year ago
The United States loses approximately $100 billion to healthcare fraud annually. Up to $20 billion dollars are due to fraudulent practices in the mental health sector. One of the largest healthcare fraud cases in US history occurred in behavioral health -- one of healthcare’s smallest sectors.
1 year ago
One of the primary drivers of healthcare waste is administrative inefficiency. While the industry implements remedies and solutions with electronic prescriptions and electronic claims transfer and processing, the gorilla in the room that no one mentions is CMS.
1 year ago
Our homes should be sanctuaries-places of refuge and safety-but sadly, fraud is alive and thriving in home healthcare, endangering one of our most fragile and vulnerable patient populations: the homebound and often bed-bound. Defenseless people who may be totally alone, without family or friends.
2 years ago
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