Remove 2015 Remove Governance Remove Health Insurance Remove Medicare
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Safeguarding Against Medical Identity Theft Training

American Medical Compliance

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. trillion in 2015. This wastes taxpayer money and interferes with your medical care.

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The History of Healthcare Compliance

MedTrainer

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. What is Healthcare Compliance?

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Centene Corporation Signs Definitive Agreement to Divest Apixio to New Mountain Capital

Healthcare IT Today

With a patented data science infrastructure, Apixio analyzes structured and unstructured data to develop high-fidelity patient health profiles and support value-based care programs. “Apixio has been a trusted business partner since our relationship began in 2015,” said Sarah M. London , Chief Executive Officer at Centene.

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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

Kaiser Health News

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

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Is Your Organization HITECH Compliant?

AIHC

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). What about Artificial Intelligence? In 2020, the U.S. OCR can impose civil money penalties up to $1.5

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Is Your Organization HITECH Compliant?

AIHC

The focus of this article is to “connect the dots” between Health Insurance Portability & Accountability Act (HIPAA) and HITECH regarding privacy and security of electronically protected health information (ePHI). What about Artificial Intelligence? In 2020, the U.S. OCR can impose civil money penalties up to $1.5

HIPAA 52
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Who Is Responsible For Compliance In Healthcare?

MedTrainer

Establishes a governance structure, reviews compliance reports, and ensures the organization operates ethically and within legal boundaries. Law by law, regulations were added, increasing the complexity of maintaining compliance for healthcare organizations. Cons: Limited focus on other aspects of compliance beyond their specific areas.