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Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses

MRO Compliance

This approach enhances both performance and compliance while minimizing human error. According to a Black Book survey , 90% of HIM professionals believe that upcoding is a significant ethical concern, while 85% say that discrepancies identified during coding audits often lead to denied claims or repayment demands due to system complexity.

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Petrie-Flom Welcomes 2024-2025 Student Fellows

Bill of Health

These six students are a fantastic cohort of scholars who join us from Harvard Law School and Harvard Medical School. Each will undertake a year-long research project with mentorship from Center faculty and affiliates and will blog here at Bill of Health regularly. Keep an eye out for their bylines! Spencer Andrews (J.D.

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HIPAA settlement: a small pharmacy pays $125,000 for improperly disposed PHI

Natalia Mazina

While this is not a new case, it serves as a good reminder that even a small healthcare provider is subject to potential monetary penalties under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Our other relevant blog posts: “ OCR increases HIPAA audits ,” “ When was the last time you trained your workforce on HIPAA?

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The Role of AI in Healthcare Compliance

Verisys

Technologies continue to transform the healthcare industrythe da Vinci Surgical Robot performs precise movements that enable minimally invasive surgeries, the CyberKnife delivers targeted radiotherapy, and smart devices provide practitioners with instantaneous updates to patient health. What Is AI in Healthcare Compliance?

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Avoiding Costly Credentialing Issues in Healthcare

Verisys

Poor communication between departments : Credentialing requires input from many players, including HR, compliance teams, and insurance payers. This can result in providers being unable to bill for services, disruptions in patient care, and compliance violations.

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Breach Prevention: 5 Best Practices to Protect Your Data

MRO Compliance

A small breach can be a simple release of information (ROI) process error involving a patient’s protected health information (PHI). Most of those disclosure points occur outside the health information management (HIM) department in areas where individuals are not trained in PHI disclosure management. Social media.

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Interpreting The Confidentiality of Substance Use Disorder (SUD) Patient Records Law  (42 CFR Part 2) 

Total HIPAA

To ensure the protection of sensitive information related to Substance Use Disorder (SUD) patients, the US Department of Health and Human Services and The Substance Abuse and Mental Health Services Administration (HHS and SAMHSA) collaborated to create the HIPAA Drug and Alcohol Records Law, also known as 42 CFR Part 2.