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The History of Healthcare Compliance

MedTrainer

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Compliance in healthcare began to encompass billing, fraud, and abuse prevention. Compliance now involves reporting quality data and participating in payment models that incentivize better care.

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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.

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Health Provider News

Hall Render

1 CMS final rule boosts Medicare hospice payments by 3.1% 1 CMS final rule boosts Medicare hospice payments by 3.1% to settle Medicare fraud claims Maine in top 10 for health care, No. Louis health system finalizes merger with another Missouri health system St. To Address SDOH Needs U.S.

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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.