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UHG says it's rebuilding Change Healthcare with cloud-based security

Healthcare It News

And, though the company's forensic investigation will continue for the foreseeable future, Witty admitted that personally identifiable information and protected health information for, in his estimation, about one-third of Americans was stolen. billion in accelerated payments as of April 26, the company reported.

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Healthcare Data Security & Insurance Challenges and Solutions

Healthcare IT Today

Federal guidelines like the Health Insurance Portability and Accountability Act (HIPAA) outline the responsibility of healthcare providers when it comes to creating, analyzing, and distributing Protected Health Information (PHI). In some cases, social engineering can be used as an avenue for ransomware and malware attacks.

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Compliance Risks Associated with Outlier Payments 

YouCompli

Price increases can sometimes result in inappropriate outlier payments. This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS). These additional payments are called outlier payments.”

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Recent Developments under 340B Program

Natalia Mazina

Safety-net providers play a critical role in delivering healthcare services in this country. reduction to payments for most drugs purchased through the 340B Program and paid under the Outpatient Prospective Payment System (“OPPS”). As a result, the use of contract pharmacies increased twentyfold. 10,272 (Mar.

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Investigation of Hospitals Hiding Prices from Patients

AIHC

Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. In the US, hospital prices vary widely but are not visible to patients or the public.

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CMS Finalizes its Proposal to Advance Interoperability and Improve Prior Authorization Processes

Healthcare Law Blog

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

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June Regulatory Update

Verisys

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).