Healthcare Law Blog

MAY 5, 2022

Department of Health and Human Services Office of Inspector (“OIG”) released a report that studied prior authorization denials and payment denials by Medicare Advantage Organizations (“MAOs”) (the “Report”). The final study was based 247 prior authorization and 183 payment cases once ineligible cases were excluded.

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Bill of Health

DECEMBER 5, 2022

If you support must-mask options on Amtrak, please sign the petition , or write to Amtrak directly, either individually or on behalf of any organization for which you’re authorized to speak). Transportation workers, like those in many other sectors, have been subject to terrible aggression and abuse when enforcing prior mask mandates.

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HIT Consultant

FEBRUARY 15, 2023

What You Should Know: – Prior authorization is mandated by payers to ensure that certain clinical procedures and medications being ordered are necessary. To alleviate the heavy administrative burden this requirement causes, healthcare organizations have adopted automated prior authorization solutions.

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Bill of Health

APRIL 8, 2022

The Food and Drug Administration has authorized studies of psychedelics , including on a “breakthrough therapy” designation, but these drugs may not be handled by persons without a Drug Enforcement Administration license and outside an FDA approved setting.

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Bill of Health

NOVEMBER 22, 2022

As the authors note, courts were uncomfortable with providing no remedy where the generator of the idea was actually working towards a future “use in business.”. In fact, mRNA vaccines themselves were formerly experimental and had never entered the market prior to the pandemic. HDT Bio Corp v.

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Innovaare Compliance

MARCH 24, 2024

A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes. Case Studies in Payment Integrity and Provider Relations. Author: Shantanu Deshmukh, VP of Marketing, Inovaare Corp. 2021, January 15).

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Healthcare Law Blog

FEBRUARY 1, 2023

Shifted its RADV approach to a more targeted, risk-based approach that incorporates unspecified risk factors, although CMS did suggest a focus area would be HCCs that are more likely to be in error based on prior RADV audits. See United States v. Lahey Clinic Hosp., 3d 1, 18 n.19 19 (1st Cir. See also Ratanasen v. 3d 1467, 1469-71 (9th Cir.

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HIT Consultant

FEBRUARY 6, 2023

However, a strong case can be made to place the physician at the center. Studies show that high-quality providers and facilities often charge significantly lower fees and have better patient outcomes than providers and facilities not in the highest quartile for care quality. Rob Stuart, Founder & President of Claim.MD billion.

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HIT Consultant

JANUARY 16, 2024

Interactive glossaries, knowledge checks and hyperlinks that explain complex medical terms, are also part of eConsent, and they ensure patients fully grasp the study’s scope and risks and what is expected during their participation in the clinical research. In certain cases, consent documents require multiple signatures.

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Healthcare Law Today

JANUARY 11, 2023

Food and Drug Administration (FDA) prior to distribution. The government also alleged that Jet Medical did not conduct an investigational study regarding the device’s safety and effectiveness when used as intended. Device regulation can range from enforcement discretion to full investigational studies.

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Healthcare IT Today

MARCH 5, 2024

Coding errors account for over 40% of claim denials , while untimely submissions contribute to 35% of denials; eligibility and prior authorization being some of the other aspects playing a significant role. A recent study conducted by Bain & Company and KLAS reveals that 80% of U.S.

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HIT Consultant

OCTOBER 20, 2023

According to a study in the Journal of the American Geriatric Society , non-fatal falls cost an estimated $50 billion in medical expenses, while fatal falls account for an estimated $754 million. According to the Journal of the American Geriatric Society study, a significant percentage of healthcare expenditures among seniors in the U.S.

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Health Populi

MARCH 13, 2024

That is certainly the case for health care’s ambitions, Deloitte noting that 75% of health care companies were already piloting GenAI. Halamka and team point out a JAMA study which overestimated the risk of heart disease in people who had high BMIs. Prior to joining HBA, Mary worked earlier in her career with Stanford Health Care.

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HIPAA Journal

MARCH 31, 2023

However, Covered Entities and Business Associates are required to provide an accounting of disclosures of Protected Health Information for the six years prior to a request. Authorizations for Disclosures of PHI. In some cases, this can mean retaining records indefinitely. Risk Assessments and Risk Analyses.

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Healthcare IT Today

MAY 22, 2023

But unfortunately, that’s the case these days. Studies show that for every one hour spent directly caring for patients, physicians spend two hours on their EHR and other administrative tasks. Prior to joining Holon, Jon served as President of Virence Health, which was acquired from GE by Veritas Capital and is now part of athenahealth.

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Healthcare IT Today

FEBRUARY 26, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. F utureRX launched its platform for health plans and PBMs , with modules for uses cases ranging from prior authorization to drug management.

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HIPAA Journal

JANUARY 1, 2023

In the case of zip codes, covered entities are permitted to use the first three digits provided the geographic unit formed by combining those first three digits contains more than 20,000 individuals. HIPAA-Compliant De-identification of Protected Health Information. Website URLs. Full face photos and comparable images.

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Health Populi

MARCH 17, 2019

That’s a sad fiscal fact, especially as more Americans gained access to health insurance under the Affordable Care Act, according to a study published this month in the American Journal of Public Health (AJPA). families each year associated with medical reasons, illustrated in Table 1 from the study. In the case of the U.S.

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HIT Consultant

MARCH 21, 2023

A study, “ Physician Time Spent Using the Electronic Health Record During Outpatient Encounters: A Descriptive Study ,” found that “physicians spent an average of 16 minutes and 14 seconds per encounter” using electronic health records (EHRs). It may seem that something so simple is already in place, but in most cases, it is not.

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HIPAA Journal

DECEMBER 2, 2022

These privacy breaches came to light during an investigation by The Markup and STAT, which found Meta Pixel had been added to the websites of one-third of the top 100 hospitals in the United States and, in 7 cases, the code had been added to password-protected patient portals. Actions HIPAA-Regulated Entities Should Take Immediately.

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HIT Consultant

NOVEMBER 17, 2022

Throughout the pandemic, digital health companies have seen significant growth, with one study finding that U.S.-based To break it down, many company products are relying on evidence from other companies or even other researchers instead of conducting their own well-designed studies. This is not possible with any other study design.

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Health Law RX

AUGUST 10, 2021

The DOJ contended that the provision of the interpretive reports allowed the referring physicians to bill for the study, induced the physicians to refer the tests to Alliance, and constituted remuneration in exchange for the referral, a violation of the AKS. Moreover, the U.S.

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Healthcare IT Today

JULY 27, 2022

Details that must be entered can be extensive, including patient demographics, insurance information, referral authorization codes, and more. . In the case that referral information is incomplete, the healthcare administrator must then reach out to the patient or referring physician and follow up for the missing details.

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Hall Render

FEBRUARY 23, 2024

hospital sees less severe cases Georgia Supreme Court vacates judgement in case with Northside Hospital, NGMC Poor Health: How Is Georgia Addressing The State’s Mental Health Woes? And lawmakers are trying to help.

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Bill of Health

FEBRUARY 23, 2024

In 2021, I signed up for a psychedelic therapist training program, and the next year I started a PhD in Australia, studying the theoretical underpinnings of psychedelic therapies. This study’s novel approaches to conjoint therapy also may have contributed to or exacerbated coercive dynamics.

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Healthcare Law Blog

NOVEMBER 21, 2022

3] PCPA cites a study that found that half of all Medicare Part D and other patients with cancer abandon their medications when they are obligated to pay more than $2,000 out-of-pocket and that more than 40% abandon their medications if their out-of-pocket cost is between $100.01 Case No 3:22-cv-714 (E.D. Case No 3:22-cv-714 (E.D.

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HIPAA Journal

DECEMBER 23, 2022

A ransomware group called Project Relic was behind the attack and claimed to have exfiltrated 211 GB of data prior to encrypting files, including employee data and patient information such as names, medical record numbers, and medical notes. Hackers gained access to its network and deployed ransomware on or around October 17. Million Records.

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Hall Render

APRIL 19, 2024

to Study Treatments for Vascular Abnormalities Federal Appeals Court Hears Arguments on Nation’s First Ban on Gender-affirming Care for Minors Jason Demke Hired as COO at Mercy Hospital Fort Smit Pulaski Tech Awarded $5.7M

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HIT Consultant

AUGUST 22, 2023

A strategic approach is needed to continue to make nurses a more vocal, visible authority on what a future, modernized care model should look like using media training and other public relations efforts. The recent study mentioned above also confirmed that there is great public support for policies that make the workplace better for nurses.

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Health Populi

AUGUST 10, 2021

As the first chart from the study illustrates, most people in America expect hybrid lifestyles, from fitness and retail to entertainment and education. prior to the pandemic — from Federally Qualified Health Clinics to some of the largest tertiary centers of excellence in the world, Ron explained. And 7 in 10 U.S.

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Healthcare IT Today

APRIL 16, 2023

This article will be a weekly roundup of interesting stories, product announcements, new hires, partnerships, research studies, awards, sales, and more. Welcome to the weekly edition of Healthcare IT Today Bonus Features. The product integrates technology from Myndshft and Pegasystems, and Blue Shield of California is an early customer.

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HIT Consultant

NOVEMBER 23, 2022

The early 2020s will be studied by historians as a time of global uncertainty when an unknown pathogen caused a public health emergency that brought the world to the brink. Remote delivery of clinical care services continued through audio-visual conferencing technology that allowed hospitals to be kept clear of confirmed cases.

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Jane Sarashon

MARCH 17, 2022

” Next, check out the second bar chart here showing American PCPs’ huge gap in providing home visits compared with doctors in the ten other countries studied. are the most likely to have social workers on their care teams, while this is almost never the case with German or Swiss PCPs. Only one in three U.S.

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Health Populi

FEBRUARY 11, 2019

The authors, doctors all, from Stanford, U-Colorado, and Yale med schools, note that, “Data from social media has the potential to improve understanding of the social determinants of health in a deeper way than prior data sources have ever allowed.”

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Healthcare IT Today

DECEMBER 15, 2023

New patient experience expectations, coupled with a looming labor shortage in radiology, is forcing new (and in many cases, overdue) innovation in imaging diagnostics. Prior authorizations, while essential for clinical oversight and fiscal responsibility, must not hinder timely care delivery.

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HIPAA Journal

APRIL 19, 2022

Immediate intervention following an instance of unauthorized access to protected health information (PHI) by a healthcare employee is 95% effective at preventing repeat offenses, according to a new study published in JAMA Open Network. According to HHS data, in 2019, 92% of combined small and large breaches were tied to unauthorized access.

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Hall Render

SEPTEMBER 16, 2022

House passes reform to Medicare Advantage prior authorizations. Covid cases remain low in Alaska. Arizona weekly COVID-19 update adds 6,119 cases, 82 deaths. Reported monkeypox cases trending down in Colorado. DC hospital must face executive’s retaliation case. Mark Cuban-backed D.C.

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