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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services.

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Webinar Recap: Elevate Your Referring and Ordering Physician Monitoring

Provider Trust

To eliminate fraud in your health ecosystem, you must stay compliant with federal and state requirements for referring and ordering physicians. While your electronic medical record (EMR) will have some data relating to practitioners, these systems can become out-of-date quickly if not regularly maintained and updated.

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

. § 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R. We discuss the Supreme Court’s denial of writ of certiorari challenging the 60 Day Rule in a previous blog post.) 3d 173, 191 (D.D.C. rather than a ‘limited duty to inquire.”

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Private Equity and Digital Health in 2023: Policy Updates and Trends to Watch

Healthcare Law Blog

In July 2022, the Department of Health and Human Services (HHS) Office of Inspector General (OIG) issued a Special Fraud Alert alerting practitioners to exercise caution when entering into arrangements with telemedicine companies. Leveraging AI can enable faster scans and shorter wait times while eliminating unnecessary manual work.

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How Search Makes Clinical Natural Language Processing Useful in the Real World

HIT Consultant

Today, cNLU is being applied to billing/coding, trial enrollment, registry creation, clinical decision support, prior authorization, fraud/abuse detections, and other labor-intensive workflows.