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Ghost Networks and Mental Healthcare

Bill of Health

by Rebekah Ninan A recent lawsuit in the Southern District of New York has alleged that the health insurance company Anthem Blue and Cross Blue Shield violated state laws and committed fraud by maintaining “ghost networks” of mental health providers. Rebekah Ninan’s (J.D.

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What is HIPAA?

HIPAA Journal

HIPAA consisted of five Titles addressing the primary objectives of the Act: Title I: Health care access, portability, and renewability. Title II: Preventing health care fraud and abuse; administration simplification; medical liability reform. What is HIPAA Title II?

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2024 Final Rule: CMS Announces More Changes to Medicare Advantage but Declines to Reform the “60 Day Rule”

Health Care Law Brief

The Final Rule adopts a host of reforms aimed at improving health care access, quality, and equity for Medicare beneficiaries that receive coverage through Part C (“Medicare Advantage” or “MA”) and prescription drug benefits through Part D. 405.986) or “reliable evidence” of fraud or “similar fault” (as defined in 42 C.F.R.

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How to Deliver Patient-Centered Care in a Post-Covid World

YouCompli

SDOH are generally grouped into five areas, including:  Social and community – Access to fresh food, and the ability to participate in social activities  Quality education – Access to schools, language, and literacy skills  Neighborhood and built environment – Feeling safe and having basic needs met, such as clean water and reliable transportation  (..)

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Health Provider News

Hall Render

’ What nurses say must improve at Framingham hospital Southcoast Health named a Recognized Center for Healthcare-AI Tufts Medicine names SVP of revenue cycle Tufts Medicine reports $68.2M operating loss, -10.2% United Therapeutics ‘no longer pursuing’ nearly 350 acres in Hackett Hill area NEW JERSEY 4 N.J.

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Health Provider News

Hall Render

Medical Society names Hamilton primary care physician as new president Mass. primary care system is in ‘crisis’, says new report Meet the Mass. Medicare fraud scheme One of Michigan’s largest insurers is altering telehealth billing. California to make $3.3 Luke’s Hospital sees record number of twin births Iowa Gov.

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Health Provider News

Hall Render

in billing fraud Arizona system names new CEO Banner Health CEO Peter Fine to retire after 24 years, handing the reins to health system president Four UArizona bioscience startups selected for Flinn Foundation program Gov. s health, hospital chief says Raising Ky.’s