Healthcare IT Today

OCTOBER 4, 2022

Effective Health Information Exchange (HIE) requires a secure and reliable Health Information Service Provider (HISP) infrastructure to provide HIPAA-compliant delivery of healthcare information.

Payment Systems 79

Payment Systems HIPAA Medicare Medicare 79

Redox

JANUARY 24, 2024

While most of the rule focuses on payer requirements, it also requires that Merit-Based Incentive Payment System (MIPS) “Promoting Interoperability Program” eligible providers report on their use of Prior Authorization APIs in a new “Electronic Prior Authorization” measure. commercial plans, worker’s compensation, etc.)

HIPAA 59

HIPAA Compliance Payment Systems 59

HIT Consultant

FEBRUARY 9, 2023

Here’s a quick overview of each framework and standard: HITRUST CSF – The HITRUST Common Security Framework (CSF) has become the gold standard for compliance framework in the healthcare industry as it addresses the requirements of existing standards and regulations including HIPAA, PCI, COBIT, NIST, ISO, FTC Red Flag, and state laws.

Regulatory Compliance 52

Regulatory Compliance Due Diligence Compliance Compliance Framework 52

Health Populi

FEBRUARY 29, 2024

The first graphic shown here illustrates the authors’ view on the digital evolution of HaH from delivery of care (migrating from in-person to fully virtual), telecomms (from telephone to embedded HIPAA-compliant video conferencing), and remote monitoring, moving from patient-reported data of vital signs to wearable sensors.

Hospitals 126

Hospitals COVID-19 Payment Systems HIPAA 126

Healthcare It News

MARCH 21, 2022

Then to the extent we rethink the payment system, that'll be an absolute flood. Bulk FHIR is under HIPAA's treatment payment operations. And then I think the government has to be very careful about trying to provide some bandwidth, which, you know, the Cures Act is a first step on. It's not just apps.

HIPAA 224

HIPAA COVID-19 Payment Systems Governance 224

Compliancy Group

NOVEMBER 16, 2022

One of these incentives is the Merit-Based Incentive Payment System, or MIPS. The security risk assessment conducted under HIPAA can be used to fulfill the requirement. Get Started × Risk Assessments & Everything You Need for HIPAA. As such, it can be used for both HIPAA and MIPS purposes. Find Out More!

Medicare 52

Medicare Medicare HIPAA Medicaid 52

Health Care Law Brief

JULY 25, 2023

7] In developing such “disincentives,” HHS is likely to look at its existing authority to punish conduct that rises to the level of “information blocking” by health care providers, and may look to the authority granted to it under the Health Insurance Portability and Accountability Act and the regulations promulgated thereunder (“ HIPAA ”).

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

Healthcare Law Blog

JANUARY 26, 2024

Merit-based Incentive Payment System (“MIPS”) eligible clinicians, operating under the Promoting Interoperability performance category of MIPS, and eligible hospitals and critical access hospitals (“CAHs”), operating under the Medicare Promoting Interoperability Program, are impacted by the Final Rule, as well.

US Department of Health and Human Services 52

US Department of Health and Human Services Medicare Medicare Medicaid 52

Healthcare IT News - Telehealth

AUGUST 19, 2020

Purchasing devices and platforms due to pricing was a concern, and HIPAA-compliant platforms and cybersecurity [were concerns] for PHI/patient safety." Staff members were unsure if Medicare and Medicaid would honor the prospective payment-system rate. Decisions were not made yet on the level of payment.

COVID-19 170

COVID-19 Telemedicine Compliance HIPAA 170

Healthcare IT Today

JUNE 29, 2023

Medicare Payment Resources CMS implemented an Ambulatory Payment Classification-based payment methodology in 2008. Visit the Medicare payment resources page on the ASCA website to learn about the changes that CMS has made to the payment system and ensure that your ASC is paid appropriately.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

C&M Health Law

DECEMBER 23, 2022

The regulations impact CMS-regulated payers and provide incentives for providers and hospitals that participate in the Medicare Promoting Interoperability Program and the Merit-based Incentive Payment System (MIPS). Finally, this Proposed Rule seeks to clarify the specific standards at 45 C.F.R. Requests for Information (RFI).

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay. Hospital reimbursement also changed.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

AIHC

NOVEMBER 29, 2023

In 1983 Medicare shifted to the inpatient Prospective Payment System (PPS) and DRGs (Diagnostic Related Groups) and only paying a limited number of days to the hospital regardless of the actual length of stay. Hospital reimbursement also changed.

Medicare 52

Medicare Medicare Medicaid Medicaid 52

HIPAA Journal

JANUARY 9, 2024

Works With Existing Practice Management Systems – The payment solution interface integrates with all existing practise management systems and is easy to deploy. Zero Risk – The patient financing solution is fully HIPAA Compliant and offers zero risk to the healthcare provider with full funding for patients.

Payment Systems 52

Payment Systems HIPAA Medical Billing 52

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. Additionally, such vetting applied in discriminatory or unreasonable manner could implicate information blocking.

Fraud 52

Fraud HIPAA Governance Compliance 52

Healthcare IT Today

NOVEMBER 14, 2022

Employees on employer-sponsored plans also now have to deal with multiple invoices from different providers for deductibles and other payments. In fact, according to data from Health Payment Systems (HPS), the average U.S. family can expect to receive approximately 125 pieces of mail each year related to health care billing.

Medical Billing 82

Medical Billing Payment Systems Health Insurance HIPAA 82

Hall Render

AUGUST 4, 2023

1 CMS final rule boosts Medicare hospice payments by 3.1% 1 CMS final rule boosts Medicare hospice payments by 3.1% To Address SDOH Needs U.S. sues UnitedHealth over ‘thousands’ of denied claims What’s a fair price for a prescription drug? To Address SDOH Needs U.S.

COVID-19 40

COVID-19 Hospitals Nursing Homes Nurses 40

Hall Render

SEPTEMBER 15, 2023

settlement over data breaches that violated HIPAA: HHS Madera hospital CEO offered job, $150K check. million in federal funding Dignity Health – Memorial Hospital awarded Primary Heart Attack Center Certification Kaiser trash inspections end in $49M settlement L.A. Care must pay $1.3M Was it meant to ‘improperly influence’ her?

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

APRIL 21, 2023

NATIONAL 6 health systems using GPT and AI tools 100,000 nurses left industry during the pandemic, report finds AHA backs bill to delay Medicaid DSH cuts by 2 years AHA launches info hub for healthcare quality leaders AHA opposes MedPAC recommendations to Congress on site-neutral, Part B drug, wage index policies AHA ramps up 340B protection efforts (..)

US Department of Health and Human Services 40

US Department of Health and Human Services COVID-19 Nurses Nursing Homes 40