Fierce Healthcare
OCTOBER 4, 2024
A proposed rule from the Centers for Medicare & Medicaid Services (CMS) released Oct. | CMS is looking to shake up the risk adjustment model and wants the ability to suspend shady brokers from the insurance marketplace, the agency wrote among other updates in a new proposed rule.
Healthcare IT Today
MAY 5, 2023
The following is a guest article by Erin Rutzler, Vice President of Fraud, Waste, and Abuse at Cotiviti In Delaware, more than 250 Medicare patients underwent unnecessary genetic testing based on telehealth consultations that often lasted less than two minutes— costing Medicare thousands of dollars per patient. In 2021, a U.S.
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Healthcare IT Today
DECEMBER 26, 2024
Recent incidents involving fake video calls and voice cloning demonstrate the technology’s potential for sophisticated fraud. Deepfake technology presents another critical threat, with AI-generated video and voice content enabling unprecedented impersonation attacks.
HIT Consultant
SEPTEMBER 9, 2021
telehealth market revenues are expected to increase by more than 28% by 2026. Further, there must be a renewed research and policy focus on fraud detection and security in telehealth. Both patients and providers have benefited from this technological transformation and want to see it continue. Fortunately for them, the U.S.
Health Care Law Brief
MARCH 8, 2022
And, participating DCEs were provided with the added benefit and flexibility of developing and offering certain financial and other incentives protected by a fraud and abuse waiver under section 1115A(d)(1) of the Social Security Act. Performance in the ACO REACH Model will span five years through 2026.
CMS.gov
OCTOBER 2, 2018
annually over the next 10 years to reach over $1 trillion by 2026. It also enhances the ability to identify potential fraud and improve program efficiency. We are committed to collaborating with states on improving their data submissions. ###.
Hall Render
MAY 10, 2024
TEAM is scheduled to begin on January 1, 2026, and continue for five years, ending on December 31, 2030. Hospitals participating in TEAM will be required to assume responsibility for the cost and quality of surgical episodes beginning on the day of admission or surgery and ending 30 days after the Medicare beneficiary leaves the hospital.
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