MedTrainer

JANUARY 12, 2024

At its core, healthcare compliance ensures the quality of care, patient safety, and integrity of healthcare systems. Over the years, healthcare compliance has evolved significantly, driven by changing regulations, advances in technology, and a growing emphasis on patient-centric care. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

Hall Render

MARCH 20, 2024

The Final Rule also imposes additional reporting requirements under the Medicare Promoting Interoperability Program for eligible hospitals and critical access hospitals and for eligible clinicians reporting under the Promoting Interoperability performance category of the Merit-Based Incentive Payment System.

Medicare 40

Medicare Medicare Health Insurance Medicaid 40

Healthcare IT Today

NOVEMBER 14, 2022

Nor do they understand what’s been covered by health insurance and what hasn’t. Employees on employer-sponsored plans also now have to deal with multiple invoices from different providers for deductibles and other payments. In fact, according to data from Health Payment Systems (HPS), the average U.S.

Medical Billing 84

Medical Billing Payment Systems Health Insurance HIPAA 84

AIHC

NOVEMBER 29, 2023

Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting “reasonable and customary charges” requiring physicians to collect data to negotiate reasonable contracts. Hospital reimbursement also changed.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting "reasonable and customary charges" requiring physicians to collect data to negotiate reasonable contracts. It's important for compliance and historical trend analysis.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Health Care Law Brief

JULY 25, 2023

5] Rules Concerning Provider “Disincentives” are Forthcoming Of note, the Final Rule does not apply to health care providers. Unlike developers, exchanges, and networks, the Act does not empower OIG to directly assess penalties for non-compliance against health care providers. [6]

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

C&M Health Law

AUGUST 3, 2023

OIG’s lookback period is 6 years for information blocking, but OIG recommended maintaining information for additional time, noting that the ONC Health IT Certification Program requires participants to maintain records to demonstrate initial and ongoing compliance for 10 years.

Fraud 52

Fraud HIPAA Governance Compliance 52