MedTrainer

JANUARY 12, 2024

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.

Compliance 52

Compliance HIPAA Telemedicine ACA 52

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

C&M Health Law

AUGUST 3, 2023

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

Fraud HIPAA Governance Compliance 52

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 52

Medicare Medicare Medicaid Medicaid 52

Hall Render

MARCH 15, 2024

Trinity: How the 3 largest nonprofit systems’ finances compare BAMF, Corewell Health partner on clinical trial for advanced cancer treatment Doctor files whistleblower lawsuit against DMC after patient becomes quadriplegic Lakeshore outpatient surgery center completes $9.3M

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 4, 2023

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.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

JANUARY 26, 2024

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

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40