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CMS Begins Option to Extend Medicaid Postpartum Coverage

Healthcare Law Blog

On April 1, 2022 , the Centers for Medicare & Medicaid Services (“CMS”) announced states may seek to extend Medicaid postpartum coverage from 60 days to one year through a new state plan option offered by the American Rescue Plan Act (“ARPA”). In states that have not expanded Medicaid, however, many postpartum women lose coverage.

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Safeguarding Against Medical Identity Theft Training

American Medical Compliance

When someone uses your personal information, such as your name, Social Security number, or Medicare number, to make false claims to Medicare and other health insurers without your consent, it is known as medical identity theft. trillion in 2015. This wastes taxpayer money and interferes with your medical care.

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HIPAA Transactions and Code Sets Rules

HIPAA Journal

During the 1970s and 1980s, an increasing number of organizations in the healthcare and health insurance industries adopted Electronic Data Interchanges (EDIs) to accelerate manual healthcare processes such as eligibility checks, treatment authorizations, and remittance advices.

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Centene Corporation Signs Definitive Agreement to Divest Apixio to New Mountain Capital

Healthcare IT Today

With a patented data science infrastructure, Apixio analyzes structured and unstructured data to develop high-fidelity patient health profiles and support value-based care programs. “Apixio has been a trusted business partner since our relationship began in 2015,” said Sarah M. London , Chief Executive Officer at Centene.

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The History of Healthcare Compliance

MedTrainer

The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. Medicare and Medicaid (1960s): The introduction of government-funded healthcare programs brought about increased scrutiny and regulation.

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HHS Proposal for Marketplace Plans Carries a Hefty Dose of Consumer Caution

Kaiser Health News

” The changes are part of a 400-page proposed rule governing the federal health insurance marketplace and a few states that use the federal platform for their own exchanges. The new broker provision aims to deter fraudulent sign-ups by clarifying that applicants must attest that the income projections listed are correct.

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Bonus Features – December 17, 2023 – 97% of hospitals now capable of enabling electronic access to patient records, 70% of hospitals face hidden business continuity challenge, plus 31 more stories

Healthcare IT Today

Though this is a significant increase from 2012, numbers haven’t budged much since 2015. eClinicalWorks completed Phase 1 of the QHIN application process , while the CommonWell Health Alliance intends to complete its application in early 2024 amid launching a new platform.

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