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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

The Importance of Payment Integrity Payment integrity is crucial for health plans to control costs, reduce fraud, waste, and abuse (FWA), and ensure the accuracy of healthcare payments. billion in healthcare fraud judgments and settlements. billion in healthcare fraud judgments and settlements.

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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Insurance carriers, cloud service providers, pharmacies, medical equipment manufacturers, and other organizations in this industry must comply with various health and safety regulations. It also reduces waste, fraud, and abuse that threaten the efficiency of healthcare delivery and services. healthcare. healthcare.

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

AIHC

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S.

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

AIHC

Health Care from a Global Perspective, 2022: Accelerating Spending, Worsening Outcomes indicates that in 2021 the U.S. percent of the gross domestic product (GDP) on healthcare, which was almost two times the average of other high-income countries, while the health outcomes in the U.S.

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Emoji Laws in Health Care ????

Bill of Health

In another legal case, a “moon” emoji was found to be possible evidence of securities fraud. This means many people may not even know they have health issues professionals could resolve. This year a “thumbs-up” emoji was found to be part of a legally binding contract. This legal evolution may seem a bit strange.

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Health Provider News – November 4, 2022

Hall Render

CVS Health, Walgreens each to settle all opioid cases for $5B. HHS releases video on documenting recognized HIPAA security practices. Feds OK Arkansas’ Life360 model incentivizing health outcomes. UAMS, Arkansas Children’s Launch Program to Improve Mental Health Care for Children in Arkansas. CALIFORNIA.

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Health Provider News – April 15, 2022

Hall Render

HHS reveals strategy on social determinants of health. HHS extends COVID-19 public health emergency for another 90 days. HHS Seeks Input on Critical HIPAA Enforcement Considerations. Health information breach feared through surplus Alabama rehab equipment. Huntsville Doctor Charged with Health Care Fraud Conspiracy.