Healthcare IT Today

JUNE 30, 2024

In a statement sent to Healthcare IT Today, the EHR Association said the disincentives are “too narrowly focused and will do little to support broader interoperability and greater health information access,” as they focus solely on certified health IT users. The public comment period runs through the end of August.

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US Department of Health and Human Services Telemedicine Hospitals Medicare 93

Healthcare IT Today

MAY 10, 2024

In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and compliance risk. That’s easier said than done. The Changing Landscape for Revenue Integrity How has revenue integrity changed over the years?

US Department of Health and Human Services 119

US Department of Health and Human Services Hospitals Nurses Compliance 119

Healthcare IT Today

JULY 21, 2024

News from DC As of 2023, 64% of health systems are aware of TEFCA and plan to participate , according to a recent ONC data brief. Worryingly, though, the number of health systems unaware of TEFCA is largely unchanged, from 25% in 2022 to 24% in 2023. Welcome to the weekly edition of Healthcare IT Today Bonus Features.

US Department of Health and Human Services 93

US Department of Health and Human Services Telemedicine 93

Healthcare IT Today

JULY 25, 2024

“This investment will enable us to reinvest in cutting-edge research and development, make breakthrough progress in our flagship RCM AI products, hire top-tier tech talent, and expand our go-to-market strategy and operations,” said Alex Zekoff, Co-Founder and CEO at Thoughtful AI.

US Department of Health and Human Services 80

US Department of Health and Human Services 80

HIT Consultant

MAY 13, 2024

In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and compliance risk. Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, CHFP, Sr. That’s easier said than done.

US Department of Health and Human Services 105

US Department of Health and Human Services Hospitals Nurses Compliance 105

Total HIPAA

FEBRUARY 23, 2023

Here are a few examples from the HHS website: A municipal social service agency disclosed PHI while processing Medicaid applications. A mental health center did not provide a Notice of Privacy Practices to a father or his minor daughter, a patient at the center. Either way, you must log every breach as it happens.

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US Department of Health and Human Services HIPAA Compliance Medicaid 52

Healthcare IT Today

NOVEMBER 5, 2024

Social determinants of health (SDOH) are the nonmedical factors that contribute to the health of an individual – where you are born, where you work, your income, your age, your race, your religion, etc. And by nature, humans are social creatures. This means there is a pretty good overlap of SDOH with population health.

Health Outcomes 90

Health Outcomes US Department of Health and Human Services Federal Policy Governance 90

Healthcare Law Blog

MARCH 1, 2024

Join us for our complimentary webcast, “Navigating Increased Scrutiny for Health Care Deals in 2024,” to be held on March 5 at 10 am PT. CLICK HERE TO REGISTER We encourage all stakeholders in the health care space contemplating mergers and acquisitions and strategic transactions to attend this webinar.

US Department of Health and Human Services 52

US Department of Health and Human Services Governance 52

Verisys

DECEMBER 10, 2024

MD Expedited License Pathways for Physician Assistants North Carolina: Effective October 14, 2024, the North Carolina Medical Board temporarily waives supervision requirements for Nurse Practitioners (NPs) and Physician Assistants (PAs), and physicians wishing to provide medical care in areas impacted by Hurricane Helene.

Compliance 52

Compliance US Department of Health and Human Services Licensing Regulatory Compliance 52

HIPAA Journal

MARCH 29, 2024

While it is currently unclear what types of data were stolen in the attack, UnitedHealth Group said personally identifiable health information, eligibility and claims information, and financial information are likely to have been compromised. United Health Group has also confirmed that it has paid out more than $3.3 40% of the $3.3

Ransomware 99

Ransomware US Department of Health and Human Services HIPAA Hospitals 99

Jane Sarashon

FEBRUARY 4, 2024

As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. is getting fuzzier by the day.

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US Department of Health and Human Services Health Insurance Medicare Medicare 75

Healthcare IT Today

MAY 30, 2024

Layering AI on top of CCTA can enable health systems to use cath labs for intervention – rather than diagnostics – which could dramatically reduce a backlog of procedures, optimize resources, and streamline efficiency in cardiac care. healthcare industry.

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US Department of Health and Human Services Hospitals Nurses Patient Satisfaction 133

Compliancy Group

FEBRUARY 26, 2024

Here, we review the function and components of hospital compliance work plans and focus on important updates to the law effective in 2024. Department of Health and Human Services (HHS) released new guidelines for healthcare compliance programs, the first updates in 15 years. What Are Hospital Compliance Work Plans?

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Compliance US Department of Health and Human Services Hospitals Compliance Officers 52

Healthcare IT Today

SEPTEMBER 15, 2024

Departments of Labor, Health and Human Services, and the Treasury issued a final rule calling on health plans to “address material differences” in access to these benefits compared to medical and surgical benefits. Welcome to the weekly edition of Healthcare IT Today Bonus Features. News The U.S.

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US Department of Health and Human Services FDA Hospitals 60

HIPAA Journal

FEBRUARY 2, 2024

The investigation confirmed on January 7, 2024, that an unknown, unauthorized third party had copied files from its network on December 18, 2023, which contained patient information. The incident has been reported to the Federal Bureau of Investigation, Department of Health and Human Services, and other regulators.

Ransomware 81

Ransomware US Department of Health and Human Services Hospitals Electronic Medical Records 81

Healthcare IT Today

MARCH 5, 2024

Patients benefit from self-service features and post-visit engagement, while clinicians gain efficiency through streamlined workflows. In addition, Fabric has 70 leading enterprise health customers on its platform, including Luminis Health, a non-profit health system providing care for 1.8 million people.

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US Department of Health and Human Services Nurses Hospitals 78

Healthcare IT Today

SEPTEMBER 18, 2024

and was prevented from using bots and screen scraping to get access to patient data. Now we’ll see how Real Time responded and look at the new burdens that AI is placing on health care as revealed by the case. APIs such as promoted by Amazon.com in retail were simply missing in health care. Progress has been slow.

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US Department of Health and Human Services Health Care Reform Doctors Hospitals 86

Healthcare IT Today

AUGUST 15, 2024

On Friday, July 19th, 2024, CrowdStrike had a major outage. Many businesses and organizations came to an abrupt halt as all systems using CrowdStrike received the infamous blue screen of death. Corporations need to remember that technology exists to serve human beings.

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US Department of Health and Human Services Ransomware Governance Hospitals 131

HIT Consultant

MARCH 27, 2024

Why is true inpatient coding automation the “holy grail” – as Kerry Gillespie, a former CFO at Intermountain Health and now an executive consultant at Warbird Consulting Partners, said to me at a Healthcare Financial Management Association roundtable last year? But recent developments have upended what’s possible.

US Department of Health and Human Services 105

US Department of Health and Human Services Hospitals 105

HIPAA Journal

APRIL 24, 2024

On April 22, 2024, the Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology (ONC) released Version 2.0 national coordinator for health information technology. national coordinator for health information technology. “I Version 2.0

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US Department of Health and Human Services Compliance HIPAA Governance 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 99

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 99

Healthcare IT Today

SEPTEMBER 4, 2024

According to a 2023 report by the US Cyber Threat Intelligence Integration Center , the number of cyberattacks on the healthcare sector doubled in 2023 from the year prior. So far in 2024 that accelerated trajectory shows no sign of slowing down. We need to do more to protect the vital healthcare infrastructure and ecosystem.

Governance 96

Governance US Department of Health and Human Services Regulatory Compliance Ransomware 96

Jane Sarashon

MARCH 12, 2024

On February 22, 2024, I went to a CVS Pharmacy-Inside-Target in my community to fill a prescription for benzonatate 200 mg capsules. That’s TMI for me to write about in the Health Populi blog, but this story has a current-events twist: the pharmacist could not electronically link with my insurance company to transact my payment.

US Department of Health and Human Services 75

US Department of Health and Human Services Hospitals Medicare Medicare 75

Verisys

DECEMBER 12, 2023

Compliance Updates: December 2023 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates Federal Legislation: The TREATS Act has been proposed which would amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment. This bill is currently in committee.

Regulatory Compliance 52

Regulatory Compliance Compliance US Department of Health and Human Services Licensing 52

Compliancy Group

JUNE 24, 2024

Regulations Critical to Healthcare Security Compliance In April 2024, over 15 million patients were directly or indirectly affected by health-related security breaches. Department of Health and Human Services, in collaboration with the healthcare industry, created a task group under the 2015 Cybersecurity Act (CSA).

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US Department of Health and Human Services Compliance HIPAA Electronic Medical Records 60

Healthcare IT Today

SEPTEMBER 13, 2024

Collaborating with ethical hackers can help the healthcare sector prevent cyberattacks before they occur, ultimately safeguarding sensitive patient data, medical devices, and health delivery infrastructure. Despite our focus on security and privacy, cyber threats are continuously increasing in both number and severity.

US Department of Health and Human Services 125

US Department of Health and Human Services Ransomware Compliance Governance 125

Compliancy Group

DECEMBER 10, 2024

In early December of 2024, the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced it has issued a $548,625 civil monetary penalty (CMP) against Childrens Hospital Colorado (CHC), for the latters HIPAA compliance trip-ups: violations of the HIPAA Privacy and Security Rules.

Hospitals 52

Hospitals US Department of Health and Human Services HIPAA Compliance 52

Compliancy Group

FEBRUARY 28, 2024

Within the US Department of Health and Human Services (HHS), the Centers for Medicare & Medicaid Services (CMS) is responsible for overseeing and administering various healthcare programs, including Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). This is just the beginning.

Compliance 52

Compliance US Department of Health and Human Services Fraud Medicare 52

Compliancy Group

FEBRUARY 12, 2024

Pharmacy Fraud and Kickback Scheme In early February 2024, the co-owner and the administrator of a New Jersey pharmacy admitted to defrauding insurance providers, including Medicare and Medicaid. Department of Health and Human Services, Office of Inspector General (HHS-OIG), said.

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Fraud Medicare Medicare US Department of Health and Human Services 52

Compliancy Group

DECEMBER 14, 2023

According to a press release published by the Department of Health and Human Services Office for Civil Rights (OCR), ransomware and hacking are healthcare’s primary cyberthreats. The public comment period for the proposed cybersecurity regulations opened on December 6, 2023, and will close on February 5, 2024.

Compliance 52

Compliance US Department of Health and Human Services Hospitals Electronic Medical Records 52

Healthcare Law Blog

JANUARY 26, 2024

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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US Department of Health and Human Services Medicare Medicare Medicaid 52

Natalia Mazina

APRIL 25, 2023

Safety-net providers play a critical role in delivering healthcare services in this country. Hospitals subject to the reductions sued the Department of Health and Human Services (“HHS”) in federal district court, alleging that HHS did not have the authority to reduce 340B reimbursement rates. 10,272 (Mar.

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US Department of Health and Human Services Medicare Medicare Payment Systems 52

AIHC

APRIL 10, 2024

Checklist for Individual & Small Group Practices Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM This article provides an overview of Health Information Technology for Economic and Clinical Health Act (HITECH) and basic checklist of policies and procedures for compliance of smaller health care organizations.

Compliance 52

Compliance US Department of Health and Human Services HIPAA Electronic Medical Records 52

Healthcare Law Blog

JANUARY 12, 2022

The phrase “whole person health” kept echoing through the virtual hallways during the second day of the 40 th Annual J.P. Cordani made the same point we heard yesterday – technology and virtual care present tremendous opportunities to address chronic condition management, mental health and physical health needs.

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US Department of Health and Human Services Doctors Nurses Medicare 52

Bill of Health

OCTOBER 16, 2024

by Rupa Palanki In May 2024, a bipartisan group of female senators introduced the Advancing Menopause Care and Mid-Life Women’s Health Act. If enacted, it would be the most comprehensive federal effort to improve health care related to menopause. Half of the American population will eventually experience this transition.

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US Department of Health and Human Services FDA Public Health Doctors 100

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52

AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.” The result?

Compliance 52

Compliance US Department of Health and Human Services COVID-19 Hospitals 52