MedTrainer

JANUARY 12, 2024

Healthcare compliance is the process of following the laws, regulations, and ethical standards that govern the healthcare industry. The adoption of electronic health records (EHRs), telemedicine , and data analytics has brought about new challenges and opportunities. What is Healthcare Compliance?

Compliance 52

Compliance HIPAA Telemedicine ACA 52

The Digital Health Corner

APRIL 28, 2017

This type of payment system shifts the ROI of digital technology from one based on revenue generation to cost savings. In fact arguments for consolidation are based on the promise of improved cheaper care. This has yet to be demonstrated (in healthcare or any other industry).

Hospitals 60

Hospitals ACA Patient Satisfaction Payment Systems 60

C&M Health Law

AUGUST 3, 2023

OIG differentiated the vetting Health Insurance Portability and Accountability Act (“HIPAA”) covered entities may conduct of entities that would be their business associates before granting access and use of EHI. Additionally, such vetting applied in discriminatory or unreasonable manner could implicate information blocking.

Fraud 52

Fraud HIPAA Governance Compliance 52

Physician Credentialing Company

OCTOBER 25, 2024

Insurance Verification And Pre-Authorization Before delivering services, it’s very important for healthcare providers to check whether the patient’s insurance includes mental health services under the 90834 code or not. Medicare and Medicaid may have different payment systems from those of the private health insurance plans.

Licensing 52

Licensing Medical Billing Telemedicine Medicare 52

AIHC

NOVEMBER 29, 2023

Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting “reasonable and customary charges” requiring physicians to collect data to negotiate reasonable contracts. Hospital reimbursement also changed.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Health Care Law Brief

JULY 25, 2023

Unlike developers, exchanges, and networks, the Act does not empower OIG to directly assess penalties for non-compliance against health care providers. [6] 3] Given the foregoing statement, OIG enforcement actions, at least as a preliminary matter, are likely to focus on repeat offenders, or particularly flagrant conduct.

HIPAA 52

HIPAA Payment Systems Compliance Licensing 52

AIHC

NOVEMBER 29, 2023

Prior to this time, commercial carriers were already pushing HMOs (health maintenance organizations) and capitation contracts with physician networks or instituting "reasonable and customary charges" requiring physicians to collect data to negotiate reasonable contracts. Hospital reimbursement also changed.

Medicare 52

Medicare Medicare Medicaid Medicaid 52