Healthcare IT Today

JULY 10, 2022

The Sequoia Project has released additional documentation support the implementation of TEFCA , the Trusted Exchange Framework and Common Agreement for health IT interoperability. Welcome to the weekly edition of Healthcare IT Today Bonus Features. The new, standalone company will be called Merative and be based in Ann Arbor, Mich.

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US Department of Health and Human Services 79

Healthcare IT News - Telehealth

APRIL 26, 2022

From the time Burrell Behavioral Health in Springfield, Missouri, received initial reports of the COVID-19 pandemic reaching the surrounding areas, clients and staff members became concerned about their physical health and wellbeing. " Darren Johnson, Burrell Behavioral Health. THE PROBLEM. PROPOSAL.

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COVID-19 US Department of Health and Human Services Licensing Telemedicine 161

Healthcare IT News - Telehealth

JANUARY 22, 2021

Clinical Decision Support Electronic Health Records (EHR, EMR) Telehealth Workflow CIOs need to look beyond just EHRs and explore standalone platforms to enhance care delivery – keeping focused on reliable patient data and streamlined clinical workflows. FDA classifies medical devices into three classes based on risk to human life.

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US Department of Health and Human Services COVID-19 FDA Governance 190

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 90

Health Populi

MARCH 10, 2020

Millions of dollars and developers’ time have been invested in conceiving and making digital health tools. Use of mobile apps to track personal health activity fell from nearly 1 in 2 consumers to 1 in 3. Use of wearable tech nearly halved, from 33% to 18%, between 2018 and 2020.

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US Department of Health and Human Services Doctors Health Outcomes HIPAA 139

Verisys

MARCH 6, 2025

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

HIT Consultant

JUNE 26, 2024

What You Should Know: – Today the Coalition for Health AI (CHAI) released a draft framework for responsible health AI with an invitation for public review and comment. – The framework, consisting of an Assurance Standards Guide, provides considerations to ensure standards are met in the deployment of AI in healthcare.

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US Department of Health and Human Services Nurses 105

The Health Law Firm

NOVEMBER 8, 2023

For corporate health care providers involved in a civil health care fraud or abuse investigation, the corporation may be required to enter into a Corporate Integrity Agreement (CIA) with the US Department of Health and Human Services (HHS), Office of Inspector General (OIG) to settle the case.

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US Department of Health and Human Services Fraud 75

Natalia Mazina

JULY 28, 2022

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). Cornell Prescription Pharmacy was a small compounding pharmacy in Denver. Penalties for non-compliance have increased. ”.

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HIPAA US Department of Health and Human Services Compliance Health Insurance 98

HIT Consultant

AUGUST 27, 2024

Loren Larsen, CEO, Videra Health The causes and effects of America’s mental health crisis are well-documented. A study by the National Council for Mental Well-Being reveals that mental health services in the U.S. Meanwhile, a nationwide shortage of mental health professionals has exacerbated a nationwide emergency.

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US Department of Health and Human Services COVID-19 Doctors 98

Verisys

APRIL 3, 2025

Data inaccuracies: A misspelled name, incorrect license number, or missing documentation might seem minor, but they can lead to license and certification rejections, compliance violations, and delayed insurance reimbursementspotentially causing financial and operational headaches.

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US Department of Health and Human Services Licensing Compliance Malpractice 52

Healthcare IT Today

FEBRUARY 14, 2024

Healthcare data breaches surged in 2022, with over 44 million patient records compromised in the US alone according to the Department of Health and Human Services. They interact with countless third-party vendors and service providers.

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US Department of Health and Human Services Compliance Hospitals 124

Healthcare IT Today

OCTOBER 8, 2024

Most of the data that we are looking to share is highly sensitive health information, the kind of information that cybercriminals love to hold for ransom. Department of Health and Human Services to be much more active in the enforcement of healthcare privacy following recent, and increasing, events like the data breach with Change Healthcare.

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US Department of Health and Human Services HIPAA Regulatory Compliance Public Health 124

Healthcare IT Today

FEBRUARY 28, 2024

Previous articles in this series introduced the role of generative AI in the healthcare back office and examined its use in billing and revenue management. We’ll cover a lot of other uses in this article. Sharma says that message generators can take language translation services and the level of education into account.

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US Department of Health and Human Services Nurses Doctors Hospitals 124

Healthcare IT Today

AUGUST 28, 2023

Stephen Sofoul, SVP, Data & Decision Science Services at MultiPlan A critical challenge lies in the shortage of experienced financial analysts or data analysts capable of effectively analyzing the wealth of information that the healthcare industry holds. However, with healthcare being ever-evolving our regulations are also ever evolving.

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US Department of Health and Human Services Telemedicine Hospitals Compliance 124

Healthcare IT Today

JUNE 12, 2024

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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US Department of Health and Human Services Ransomware Health Insurance HIPAA 120

Healthcare IT Today

AUGUST 7, 2024

For example, these tools enable right-time, omnichannel notifications that make it simple for patients to pay their bills and send balance reminders to improve the collection of healthcare payments, increase medical practice revenue and improve AR for hospitals and health systems. The following are their answers.

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US Department of Health and Human Services Patient Satisfaction Compliance Hospitals 122

HIPAA Journal

JANUARY 10, 2024

Stripe is not HIPAA compliant and – other than its payment processing services – should not be used by covered entities and business associates to create, collect, store, or transmit Protected Health Information (PHI). Stripe complies with multiple US and International data privacy regulations (i.e., What is Stripe?

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HIPAA US Department of Health and Human Services Fraud Telemedicine 94

Healthcare IT Today

JUNE 18, 2024

Now, with generative AI, artificial intelligence can play a significant role in understanding both clinical and payer-related documents. Prior authorization is a hot topic for health systems, providers, and legislators. This advancement makes AI perfect for impacting the hospital revenue cycle.

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US Department of Health and Human Services Hospitals Doctors Nurses 119

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 131

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.

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Hospitals US Department of Health and Human Services HIPAA Compliance 98

Healthcare IT Today

DECEMBER 13, 2024

Detecting clinical depression from vocal patterns , identifying an individual through their way of walking , determining a caller’s emotion during a customer service session these are examples of biometric analysis in use today. Keser asserts that biometrics require a new set of laws and regulations.

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US Department of Health and Human Services Informed Consent Governance 60

Healthcare IT News - Telehealth

NOVEMBER 23, 2020

With much of the country shut down earlier this year, the typical number of weekly virtual care visits grew from dozens, to hundreds, to thousands at hospitals and health systems across the country. Bardack, medical director of CareMount Medical and chair of the department of internal medicine/endocrine/rheumatology. " Dr. Lisa R.

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COVID-19 Telemedicine US Department of Health and Human Services Doctors 206

Healthcare Compliance Blog

MAY 9, 2022

A home health services company headquartered in Kentucky, and its related entities, paid $2.1 million to the United States government to settle claims of improperly billing the Medicare Program for home health services provided to beneficiaries living in Florida.

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US Department of Health and Human Services Medicare Medicare Compliance 59

The Health Law Firm

OCTOBER 7, 2022

Board Certified by The Florida Bar in Health Law The US Department of Health and Human Services (HHS) issues investigative subpoenas through the Office of the Inspector General (OIG). These subpoenas are very broad, usually requiring the production of thousands of pages of documents. By George F.

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US Department of Health and Human Services Fraud Medicaid Medicaid 52

HIT Consultant

NOVEMBER 13, 2023

hours entering electronic health records (EHR data), and managing patient loads of 2,000 or more. These healthcare organizations (HCOs) will deploy task-oriented and domain-specific models that build on large-language models (LLMs), using reinforcement learning and knowledge graphs to deliver relevant, accurate, and stable data outputs.

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US Department of Health and Human Services COVID-19 Fraud Nurses 111

Total HIPAA

JANUARY 18, 2022

HIPAA breaches involving fewer than 500 individuals which occurred during 2021 must be reported to the US Department of Health and Human Services (HHS) by Tuesday, March 1, 2022. Here are a few examples from the HHS website: A municipal social service agency disclosed PHI while processing Medicaid applications.

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HIPAA US Department of Health and Human Services Compliance Medicaid 92

Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

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Nursing Homes Nurses US Department of Health and Human Services Licensing 59

Healthcare Compliance Blog

JUNE 9, 2022

His exclusion means that no federal healthcare program payment may be made, either directly or indirectly, for any items or services furnished by him or at his direction or prescription. HHS-OIG will continue to work with the US Attorney’s Office to ensure the integrity of the Medicare Trust Fund.”.

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US Department of Health and Human Services Overpayments Overpayment Medicare 59

Med-Net Compliance

SEPTEMBER 14, 2022

A Massachusetts home health aide, who was licensed as a Certified Nursing Assistant (CNA), has been indicted in connection with a home surveillance video showing her abusing an elderly patient, Attorney General Maura Healey announced. The aide was indicted by a grand jury on two charges of assault and battery on an elder by a caretaker.

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US Department of Health and Human Services Fraud Medicaid Medicaid 59

Compliancy Group

JULY 24, 2024

One of the most significant regulatory bodies is the Centers for Medicare & Medicaid Services (CMS), which conducts rigorous inspections to ensure that healthcare providers meet required standards. Understanding CMS Inspections CMS is a federal agency within the United States Department of Health and Human Services.

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US Department of Health and Human Services Compliance Medicaid Medicaid 59

Med-Net Compliance

JUNE 22, 2022

Investigation of the case was conducted by the US Department of Veterans Affairs-Office of Inspector General (VA-OIG), VA Police Detroit and the Medicare Fraud Strike Force (MFSF) partners, a partnership among the Criminal Division, US Attorney’s Offices, and US Health and Human Services-Office of Inspector General (HHS-OIG).

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COVID-19 Vaccine COVID-19 Fraud US Department of Health and Human Services 59

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 84

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 73

Healthcare Compliance Blog

APRIL 26, 2022

The Office of Inspector General (OIG) for the US Department of Health and Human Services (HHS) has made educational resources available for healthcare providers to comply with federal healthcare laws and regulations. Department of Health and Human Services (hhs.gov).

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US Department of Health and Human Services Fraud Compliance Medicaid 59

Total HIPAA

MAY 19, 2022

Insurance agents who handle protected health information (PHI) are required to comply with the Health Insurance Portability and Accountability Act (HIPAA). HIPAA compliance audits are conducted by the Department of Health and Human Services’ Office for Civil Rights (OCR). HIPAA Audits.”

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HIPAA US Department of Health and Human Services Compliance Health Insurance 52

Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors.

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Nursing Homes Fraud US Department of Health and Human Services Nurses 59