Healthcare IT Today

MAY 18, 2024

79% of healthcare CIOs plan to implement generative AI by 2026, but 47% of healthcare data is underutilized in decision-making. SaaS compliance software maker RFX Solutions closed $9 million in Series A funding. Project management and systems support roles, plus multiple positions seeking Epic expertise. raised $47.5

Hospitals 103

Hospitals Nurses Governance Compliance 103

Innovaare Compliance

NOVEMBER 29, 2023

They include: (i) The field “Originally Prescribed Quantity” has been added to enable more accurate identification of incrementally filled Schedule II products and to monitor for compliance. The value reported for PDEs with a DOS before January 1, 2026, must be zero. [9]

Medicare 52

Medicare Medicare Compliance Medicaid 52

Innovaare Compliance

JANUARY 15, 2024

CMS will implement negotiated pricing based on maximum fair price (MFP) in 2026 on ten (10) selected drugs. With a team of compliance specialists, Inovaare provides in-depth technical expertise and compliance preparedness evaluation, guidance, and support. Rebates from the selected drugs may change.

Medicare 52

Medicare Medicare Compliance FDA 52

Dot Compliance

FEBRUARY 15, 2024

The QMSR enforcement will be effective starting on February 2, 2026, by which date device importers and manufacturers must modify their quality systems in line with the new rules’ requirements. Get Ready for QMSR with Dot Compliance While two years may seem like a long time away, don’t let it sneak up on you. Dot Compliance can help.

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FDA Compliance 52

Healthcare Law Blog

JANUARY 26, 2024

This is a change from the Proposed Rule, which proposed to have the requirement take effect on January 1, 2026. Impacted Payers will be required to submit annual Patient Access API usage data metrics to CMS beginning January 1, 2026. Impacted Payers must implement this requirement by January 1, 2027.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Compliancy Group

MAY 30, 2023

However, this law won’t take effect until January 1, 2026, more than two and a half years after it was signed. HIPAA and State Privacy Compliance Meet compliance requirements at both state and federal levels. The post Indiana Privacy Laws: The Indiana Consumer Data Protection Act appeared first on Compliancy Group.

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HIPAA Compliance Health Insurance Governance 52

Healthcare IT Today

DECEMBER 11, 2023

It’s no surprise that, according to EMR, the global AI market is expected to reach $6 trillion by 2026. This can be a major risk for an industry like healthcare, where compliance, protocols, and privacy are essential. Yet not all AI is created equal. Generative AI, while powerful, is basically a black box.

Doctors 90

Doctors Compliance Hospitals 90

Redox

JANUARY 24, 2024

The compliance date remains January 1, 2026, for other portions of the rule, including prior authorization decision timeframes, reasons for denial, and metrics reporting. The final rule states that HHS will not enforce the use of the X12 standard for HIPAA compliance with electronic prior authorization if a FHIR API is used.

HIPAA 59

HIPAA Compliance Payment Systems 59

Hall Render

MARCH 20, 2024

These process-related requirements will have an implementation deadline of January 1, 2026. Payers are expected to be in compliance with this API requirement by January 1, 2027. Payers should begin developing these APIs as soon as possible to ensure timely compliance.

Medicare 40

Medicare Medicare Health Insurance Medicaid 40

HIT Consultant

FEBRUARY 9, 2023

While the provisions for the CMS rule would not go into effect until 2026, health plans using manual or partially automated PA processes will need to invest in infrastructure and technology to support this transition well before then.

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Medicaid Medicaid Medicare Medicare 98

HIT Consultant

OCTOBER 31, 2023

According to research , the global 5G technology market could expand to $128 billion by 2026. Just as importantly, within a private 5G network, healthcare organizations could more readily ensure that private patient data remains private, as is required for HIPAA compliance.

Hospitals 119

Hospitals HIPAA Doctors Compliance 119

HIT Consultant

AUGUST 23, 2022

With industry leaders focused on compliance, regulation, and security, this understandably makes healthcare leaders hesitant to adopt these technologies. These solutions also provide HIPAA compliance – a growing topic of importance as telehealth and virtual care open even more access points to a user’s digital identity. In the U.S.,

Electronic Medical Records 98

Electronic Medical Records HIPAA Compliance Telemedicine 98

Innovaare Compliance

APRIL 27, 2023

Regulatory changes and allied economics have always influenced ACA flux since its inception The Inflation Reduction Act enabled a continued extension of tax credits for ACA plan purchases till 2026, and includes provisions to offset the enhanced premium rise.

ACA 52

ACA Medicaid Medicaid Health Outcomes 52

Healthcare IT Today

JUNE 7, 2023

Many of our concerns center on the proposed implementation timeframes associated with various concepts included in HTI-1, as well as ONC’s failure to sufficiently consider the burden compliance will place on provider organizations and health IT developers. 31, 2024, compliance timeline is unrealistic.

FDA 75

FDA Compliance Regulatory Compliance Medicaid 75

C&M Health Law

DECEMBER 23, 2022

Most of the Proposed Rule’s provisions will be effective on January 1, 2026. The deadline to submit comments is March 13, 2023. Our initial takeaways are summarized below. The below summary does not focus on the Medicaid and Children’s Health Insurance Program (CHIP) Fee for Service (FFS) proposals.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Healthcare Law Blog

DECEMBER 15, 2022

Specifically, CMS proposes that, beginning January 1, 2026, impacted payers would be required to: Implement and maintain a FHIR PARDD API using technology conformant with certain standards and implementation specifications in 45 CFR 170.215. CMS is not proposing to apply these requirements to drugs that are covered by the MAO.

Medicaid 52

Medicaid Medicaid Medicare Medicare 52

Innovaare Compliance

OCTOBER 31, 2023

CMS’s decision to reduce CAHPS weightage from 4X to 2X for 2026 Star ratings would further skew health plan focus and resources for improving clinical and operational domains. Measure Ratings Overall underperformance in 2024 Star ratings is primarily driven by poor performance across HEDIS and PDE measures.

Medicare 52

Medicare Medicare Compliance 52

HIT Consultant

NOVEMBER 17, 2022

Organizations were slow to adopt newer technologies for managing images and patient records over concerns about security, legal compliance, and the risk of downtime. billion by 2026. Spurred on by events over the last two years, cloud adoption is seeing a significant uptick in the healthcare space. billion share in 2021.

COVID-19 52

COVID-19 Doctors Compliance 52

Medisys Compliance

JULY 27, 2022

For dates of service calendar years 2027-2029, the reduced coinsurance is 10%. For dates of service on or after calendar year 2030, Medicare waives the coinsurance.

Medical Billing 52

Medical Billing Medical Billing Outsourcing ACA Medicare 52

Healthcare IT Today

MAY 5, 2023

billion by 2026 , driven in part by direct-to-consumer testing for health risks such as breast cancer and physician orders for prenatal testing, tumor molecular profiling and sequencing to diagnose rare disease. Such scenarios demand vigilance from health plans and new approaches to preventing inappropriate billing before it starts.

Fraud 62

Fraud Medicare Medicare Overpayments 62

Medisys Compliance

APRIL 18, 2022

Beginning in 2026, QPs will receive a higher annual Medicare fee schedule adjustment than non-QPs. In addition, eligible clinicians who participate in certain APMs but don’t meet the QP requirements may still receive more favorable scoring under MIPS.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medicaid Medicaid 52

Medisys Compliance

DECEMBER 1, 2022

By 2026, the medical billing outsourcing market will be worth $8 million. Healthcare professionals are unable to respond to patients accurately and quickly due to a lack of technology developments. Wrapping Up.

Medical Billing 52

Medical Billing Medical Billing Outsourcing US Department of Health and Human Services Doctors 52

Verisys

DECEMBER 23, 2022

California healthcare organizations will be required to implement the framework by 2026, including signing the Data Exchange Agreement. .

Licensing 52

Licensing Governance Hospitals Doctors 52

Provider Trust

OCTOBER 12, 2021

government estimates that >200,000 new RN positions will be created each year from 2016 to 2026. Verifying and managing provider licenses is critical to maintaining compliance and to ensuring up-to-date credentialing and accreditation, accurate billing, and patient safety. Additionally, of all licensed RNs, 84.5%

Licensing 52

Licensing Nurses COVID-19 Public Health 52

SQA

FEBRUARY 15, 2023

Finalization of the document is planned for 2026. ACT EU features ten priority action areas that are the basis for the ACT EU 2022-2026 workplan. The consultation period for the revised new Annex 11 ends on 16 January 2023, with a draft document to be released for consultation in December 2024. was conducted on 07 November 2022.

US Department of Health and Human Services 40

US Department of Health and Human Services FDA COVID-19 World Health 40

HIPAA Journal

APRIL 23, 2024

The HIPAA changes will take effect 60 days following the publication of the HIPAA Privacy Rule to Support Reproductive Health Care Privacy in the Federal Register and the compliance date is 180 days after the effective date.

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HIPAA Compliance Doctors Health Insurance 86

Healthcare Law Blog

MARCH 14, 2024

The Final Rule takes effect on April 16, 2024 and entities must ensure full compliance by February 16, 2026. Additionally, HHS will be developing guidance on compliance with the new Part 2 requirements. Additionally, HHS will be developing guidance on compliance with the new Part 2 requirements.

HIPAA 52

HIPAA Compliance Health Services Administration Public Health 52

Compliancy Group

MAY 11, 2022

The 37 additional investigators and supervisory investigators OCR hopes to hire for 2023 would be used to work on complaints, data breach cases, compliance reviews, and other enforcement actions. With additional staff, OCR “estimates it will result in the backlog being eliminated by FY 2026.”. Compliancy Group can help!

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HIPAA Compliance 98

Healthcare IT Today

JUNE 23, 2022

Healthcare devices represent one of the fastest-growing IoT sectors, and it’s predicted to reach $ 176 billion by 2026. Doctors can change device settings while also checking on patient compliance. Now, monitoring via IoT allows patients to remain at home while doctors remotely and continuously monitor patient progress.

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Doctors Hospitals Compliance 125

HIT Consultant

AUGUST 2, 2022

According to the American Hospital Association (AHA), medical records, billing, and compliance are the fastest growing healthcare white-collar administrative professions, expected to grow 13% by 2026 2. Additionally, automation can reduce the need for review and query management and eliminate the need for spreadsheets.

Hospitals 97

Hospitals Compliance COVID-19 HIPAA 97

Redox

NOVEMBER 21, 2023

Small physician practices, rehabilitation hospitals, long-term acute care hospitals, acute psychiatric hospitals, small rural acute care hospitals, and nonprofit clinics will have until January 2026.

Hospitals 59

Hospitals Nurses Public Health HIPAA 59

Dot Compliance

FEBRUARY 1, 2022

Analysts report that the global life science analytics market (descriptive analytics, predictive analytics, prescriptive analytics) is expected to double in value by 2026 ($47B up from $23B in 2020), driven by the “increased prevalence of chronic diseases, technological advancements and rising demand for improved data standardization.”

FDA 52

FDA COVID-19 Vaccine Pharmaceutical Industry COVID-19 52

C&M Health Law

JANUARY 4, 2024

The United States Core Data for Interoperability Version 3 (USCDI v3): ONC established the USCDI v3 as the new baseline standard of data classes and constituent data elements for certified health IT, effective January 1, 2026.

Public Health 52

Public Health Licensing HIPAA Governance 52

Healthcare IT Today

JANUARY 11, 2023

In 2023, health IT vendors will continue to work to maintain compliance as part of new regulatory requirements related to the 21st Century Cures Act. The CMS proposed ruling requires impacted payers to build and maintain a FHIR API, starting January 1st, 2026, in effort to improve the cumbersome and costly prior authorization process.

Hospitals 100

Hospitals Health Outcomes Public Health Governance 100

SQA

MAY 24, 2023

The vote occurred on 16 February 2023 following a plenary meeting of the European Parliament, and represents a significant step towards a formal extension of MDR and IVDR compliance deadlines for some device manufacturers. and 211.84). On 02 February 2023, FDA held a teleconference with the firm.

FDA 40

FDA Licensing Governance Compliance 40

Verisys

JANUARY 13, 2022

Massachusetts (for mental health services only). New Hampshire. New Jersey. New Mexico. Oklahoma (effective Jan. Rhode Island. Vermont (expires Jan. Washington. Federal Regulations Affecting Telehealth. Three major federal-level changes in regulation will continue to affect access to telehealth services: The U.S.

US Department of Health and Human Services 52

US Department of Health and Human Services COVID-19 Public Health Telemedicine 52

Hall Render

NOVEMBER 28, 2023

Under PDGM, CMS must “annually determine the impact of differences between assumed behavior changes… and actual behavior changes on estimated aggregate expenditures” every year from 2020 to 2026. Hospices need to be much more vigilant about compliance. Hospice 36-Month Rule.

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Medicare Medicare Payment Systems Medicaid 40