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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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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

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.

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Why Data Analytics are Critical in a Value-Based Care (VBC) Environment

AIHC

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.

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HHS-OIG Releases Final Rule Implementing Information Blocking Penalties

C&M Health Law

OIG differentiated the vetting Health Insurance Portability and Accountability Act (“HIPAA”) covered entities may conduct of entities that would be their business associates before granting access and use of EHI. Other than the information blocking penalties, the rest of the final rule’s provisions are effective August 2, 2023.

Fraud 52
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Health Provider News

Hall Render

1 CMS final rule boosts Medicare hospice payments by 3.1% to settle Medicare fraud claims Maine in top 10 for health care, No. 1 for access in WalletHub ranking VA Maine Healthcare System receives 4 stars CMS quality ratings Maine’s tally of ‘high-performing’ hospitals falls sharply in latest U.S.

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Health Provider News

Hall Render

hospitals Savannah hospitals at full capacity Georgia lawmaker proposes bill to limit AI’s use in health insurance decisions 6 GA Hospitals Among Best In US: New Ranking ‘It can all start there’: This is why Georgia is investing in behavioral health crisis centers $2.2M

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Health Provider News

Hall Render

health-tech startup MemoryWell pivots, eyes new funding to roll out software for insurers Department of Veterans Affairs health system kicks off multiyear Greater Washington expansion Georgetown to open Southeast D.C.