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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. Licensing and credentialing were introduced to regulate healthcare professionals and ensure minimum standards of care. So, how has the history of healthcare compliance changed since its inception?

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Billing Guidelines for Medicare Home Infusion Therapy (HIT)

Medisys Compliance

Section 1861(iii)(3)(D)(i) of the Social Security Act defines a qualified home infusion therapy supplier as a pharmacy, physician, or other provider of services or supplier licensed by the State in which the pharmacy, physician, or provider of services or supplier furnishes items or services. Billing Codes for Home Infusion Therapy.

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OIG Issues Final Information Blocking Enforcement Rule and Highlights the Potential for Referrals to the FTC and FCA Liability

Health Care Law Brief

Specifically, OIG signaled that “unconscionable or one-sided business terms for the access, exchange, or use of EHI, or the licensing of an interoperability element” may rise to the level of information blocking if the conduct “impedes a provider’s ability to care for patients.” [4]

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The healthcare executive’s guide to AI

Redox

Primarily, CMS covers AI reimbursement with AI-specific Current Procedural Terminology (CPT) codes created by the American Medical Association CPT Editorial Panel or by establishing New Technology Add-on Payments (NTAPs) for AI devices. AI costs When calculating AI’s ROI, providers should consider more than a vendor’s deployment costs.

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Solve.Care Launches Decentralized Layer-2 Healthcare Blockchain Infrastructure 

HIT Consultant

Trust and compliance measures are built-in to overcome barriers to adoption, such as requiring a Proof-of-Competency and a healthcare license or certification from validators. Care.Chain also introduces new healthcare computing primitives with the introduction of ZK (Zero-Knowledge) verifiable runtime for events.

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Investigation of Hospitals Hiding Prices from Patients

AIHC

The government expects hospitals to be compliant as there has been ample time to prepare for its implementation and to comply with the requirements. In 2019, the federal government finalized a rule requiring hospitals to disclose the prices they negotiate with insurers. How is the Government Monitoring for Noncompliance?

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Health Provider News

Hall Render

billion clawback in Northern District of Texas Fort Worth The Hospital at Westlake Medical Center files for Chapter 11 bankruptcy protection 11 best hospitals in Texas for orthopedic surgery Johns Hopkins physician leader to join UT Southwestern Medical City Fort Worth’s New CEO and Texas Health Stephenville’s $12.5