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Importance of Regulatory Compliance in Healthcare

Compliancy Group

Also, all insurance and Medicare or Medicaid claims must only include charges for services and treatments ordered and deemed necessary. HIPAA The Health Insurance Portability and Privacy Act (HIPAA) applies to anyone who interacts with patients or handles PHI. name, phone number). healthcare. healthcare.

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A Profile of People in Medicare Advantage Plans – HealthMine’s Survey of “Digital Immigrants”

Health Populi

There are over 60 million enrollees in Medicare in 2019, and fully one-third are in Medicare Advantage plans. Medicare is adding 10,000 new beneficiaries every day in the U.S. Medicare Advantage enrollment is fast-growing, shown in the first chart where over 22 million people were in MA plans in January 2019.

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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

According to the National Health Care Anti-Fraud Association, the financial losses due to healthcare fraud are estimated to be in the billions of dollars annually. The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 billion in healthcare fraud judgments and settlements.

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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. healthcare system were exorbitant.

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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. healthcare system were exorbitant.

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Managing Healthcare Compliance in Idaho

MedTrainer

The resources provided by these Idaho state agencies are essential for promoting public health, ensuring access to healthcare, supporting healthcare professionals, and enhancing overall health outcomes for the residents of Idaho. It also allows licensure exceptions for out-of-state providers under specific circumstances.

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Health Is Social – The Social Determinants of Health at HIMSS19

Health Populi

need a new-and-improved HIPAA or more over-arching new national privacy law like a USGDPR? Waystar, a company that supports revenue cycle management in health care, published a survey report on Consumer perspectives on how social determinants impact clinical experience. What does “de-identification” mean in this scenario?