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As 2023 unfolds, the urgency for entities in the healthcare sector to initiate or reinforce their HIPAA compliance cannot be overstated. This isn’t just about ticking off a checklist; it’s about safeguarding the future of your organization, whether you’re a medical practice, a health insurance agent, a self-funded employer, or a business associate in the healthcare realm. 1.
Data breaches and cyberattacks have become more prevalent, making it essential for organizations to prioritize the security and privacy of their customers’ sensitive information. One effective way to achieve this is by obtaining SOC 2 compliance. SOC 2, short for System Organization Controls 2, is a widely recognized auditing standard developed by the American Institute of Certified Public Accountants (AICPA).
As Electronic Health Record (EHR) companies prepare for potential fines reaching up to $1 million regarding information blocking violations, healthcare practices and hospitals find themselves at the cusp of impending changes. Although no fines have been enforced for practices or hospitals yet, discussions regarding their imposition are actively underway.
By Eric Demers - In 2022, 20% of adults said they or their family received an unexpected medical bill. The No Surprises Act, which went into effect last year, is better late than never. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes. The post The No Surprises Act Demands Real-Time Regulatory Compliance appeared first on Health IT Answers.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity. Let’s start by defining what a compliance framework is all about.
The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.
Companies are expanding their reach with artificial intelligence through acquisitions, investments and government approvals on a near-daily basis. These are just some of the AI health tech announcements we're watching unfold this week. HEALWELL AI to acquire majority control of Pentavere HEALWELL AI debuted last month after partnering with WELL Health Technologies, which provides a digital healthcare operations platform, to launch AI-based decision support to advance early disease diagnosis
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Companies are expanding their reach with artificial intelligence through acquisitions, investments and government approvals on a near-daily basis. These are just some of the AI health tech announcements we're watching unfold this week. HEALWELL AI to acquire majority control of Pentavere HEALWELL AI debuted last month after partnering with WELL Health Technologies, which provides a digital healthcare operations platform, to launch AI-based decision support to advance early disease diagnosis
By Nerima Were and Allan Maleche Taking into account our experiences as human rights lawyers working in Kenya during the COVID-19 pandemic, in this article we briefly analyze the Principles and Guidelines on Human Rights and Public Health Emergencies (the Principles) and make a case for their utility in guiding State measures to prepare for, prevent, and respond to future pandemics consistently with international human rights law and standards.
As was the case with many healthcare organizations, the COVID-19 pandemic ushered in a significant increase in telehealth visits for Phoenix Children’s Hospital – especially in outpatient clinics. THE PROBLEM For a children’s hospital, this meant that often for the first time, parents and/or extended family could attend a doctor’s visit virtually and take a more active role in the care of their children.
Felisha Norrington, director of academic assistance at GSU's College of Nursing and Health Professions, says while there is movement on health equity, social work and technology investments help ensure care resources are accessible to all people.
Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.
By Eduardo Arenas Catalán The Principles and Guidelines on Human Rights and Public Health Emergencies (the Principles), entail a notable attempt to consolidate lessons learned from the COVID-19 pandemic. After the largely non-solidaristic international response to COVID-19, the Principles outline the advantages and limitations of embedding human rights discourse within the global public health machinery.
Gastroenterology Associates of New Jersey needed to optimize care and capacity: Reimbursement gets tighter every year while patient demand grows. The practice aims to improve access for necessary in-person care and procedures while offering patients complementary proven interventions ideally suited for telemedicine. THE PROBLEM "Gastroenterology is a complex specialty," said Dr.
Managing laborious payer processes is one of the most cumbersome operational challenges for hospitals and health systems. From initial claim submission to filling additional documentation requests, and responding to payer audits or denials, healthcare provider organizations dedicate significant time and resources to collaboration with payers. I recently had the pleasure of sitting down with Beth Friedman, Senior Partner of FINN Partners, on FINN Voices , part of Healthcare NOW Radio.
Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.
By Jon Larsen and Sterling Johnson People who need opioid use (OUD) treatment in the United States are often not receiving it — at least two million people with OUD are experiencing a treatment gap that prevents or hampers their ability to receive life-saving care and support. This reality reflects structural, policy, and legal misalignments common to the entire U.S. health care system, but that are especially present for behavioral health needs like substance use, and are exacerbated by other c
A new after-hours clinical telehealth service will be offered shortly to rural communities in New Zealand. This comes after the contract to deliver the said service nationwide over three years was awarded to a consortium of telehealth providers, which is composed of Reach Aotearoa, Practice Plus and Emergency Consult. WHAT IT'S ABOUT Commissioned by Te Whatu Ora and Te Aka Whai Ora, the new service will provide after-hours care on weekdays and will be available round-the-clock on weekends an
Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.
What You Should Know: STAT Health emerges from stealth to introduce a 24/7 in-ear wearable that measures blood flow to the head to better understand symptoms such as dizziness, brain fog, headaches, fainting, and fatigue that occur upon standing. These are common symptoms for illnesses like long COVID, postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS), and other orthostatic (caused by standing) syndromes that affect more than 13 milli
The acquisition brings UpLift's offerings to Illinois, New York, Pennsylvania, Texas and California, helping to speed up its ability to expand nationally.
UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.
Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.
Norristown, Pa. – November 13 , 2023 – MRO Corp., the leading clinical data exchange company in healthcare, announced that Adrienne Morrell has joined the company as its new Vice President of Government Affairs. Morrell brings with her more than 25 years of government affairs experience covering both state and federal rulemaking tied to Medicare, Medicaid, commercial insurance and health IT.
Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and require | The latest annual poll of practices' regulatory burden outlined prior authorization, audits and appeals, Medicare QPP and other leading pain points that physicians say are weighing down theor staff and ability to deliver care.
In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.
The following is a guest article by Nick Barger, PharmD, Vice President, Product at DrFirst. This article kicks off the Healthcare Regulatory Talk series. There’s a collective holding of breath right now in health IT as the ONC appears likely to issue its final HTI-1 rule with new data standards for the next stage of healthcare interoperability soon.
The country's largest pharmacy benefit manager is taking a page out of Mark Cuban's book. | The country's largest pharmacy benefit manager is taking a page out of Mark Cuban's book.
Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.
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