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Most of the data that we are looking to share is highly sensitive healthinformation, the kind of information that cybercriminals love to hold for ransom. We talk a lot about sharing data and how it will improve patient outcomes and interoperability, but do we talk enough about how to do it safely?
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. We also purchased additional server capacities and Citrix licenses to run core applications remotely.
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.
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?
In one of the largest breaches reported in 2022 so far, SuperCare Health suffered a hacking incident affecting 318,379 patients. However, it took SuperCare Health until February 2022 to discover the incident had potentially compromised that patient information. What Do We Know About the SuperCare Health Hack?
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 HealthInformation (PHI). Stripe complies with multiple US and International data privacy regulations (i.e.,
Even when digital tools are utilized, it’s not uncommon for provider network teams to use a combination of siloed point solutions, disparate spreadsheets, and a series of complex process steps for keeping status information up to date in multiple disconnected systems. How is provider data shared in your organization?
Prior authorization is a hot topic for health systems, providers, and legislators. It’s here where AI can have an immediate impact, be trained on a health system’s own data, and be course-corrected to ensure highly accurate outcomes. It’s costly, inefficient, and responsible for patient care delays.
As healthcare manages the twin challenges of a shrinking workforce and an expanding patient population , hospitals and health systems are faced with some fundamental challenges. More than half of respondents to a recent Accenture survey said they've already made use of wearable devices so far this year.).
In early December of 2024, the Department of Health and HumanServices (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.
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.
Keith Thompson, Chief Medical Officer of NuraLogix Those of us old enough to recall the 1960s TV series “Star Trek” were fascinated by Dr. McCoy when he would simply point a scanner at his patients and analyze their condition. This future state has been made possible since the advent of “Transdermal Optical Imaging” or “TOI TM ”.
On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and HumanServices (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections). OIG inspectors recommended the facility develop a process to collect this data and post the information as required.
It contains information for nurses, employers, and nursing students, and graduates. The board has partnered with Medical Interactive to standardize the subject material to ensure that all prescribers receive the same information. The healthcare providers must have a full and unrestricted license.
It contains information for nurses, employers, and nursing students, and graduates. The board has partnered with Medical Interactive to standardize the subject material to ensure that all prescribers receive the same information. The healthcare providers must have a full and unrestricted license.
The onboarding process is pivotal in ensuring employees understand their job duties, engage in best cybersecurity practices, and comply with important regulations like the Health Insurance Portability and Accountability Act, Occupational Health and Safety Administration, and prevention of Fraud, Waste, and Abuse in healthcare.
As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.
Compliance Updates: December 2023 Overlook: Federal Legislation DEA Licensure Compacts Other Legislation Board Updates Federal Legislation: The TREATS Act has been proposed which would amend the Controlled Substances Act to allow for the use of telehealth in substance use disorder treatment. This bill is currently in committee.
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. The psychologist was convicted of four counts of healthcare fraud.
Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.
Whether you use paper, spreadsheets, email, or fax, the credentialing process can be long and frustrating when you’re doing it internally. It’s important for a practitioner to be credentialed and have privileges granted before beginning to practice medicine and bill for services rendered. What’s the solution?
COVID has impacted every aspect of daily life, and these changes have affected people’s mental health, making telehealth services for behavioral health more important than ever. Others may become susceptible to mental health issues, such as depression or anxiety. The use of telemedicine in the U.S.
Due to the complex nature of medical credentialing, it requires coordination between several disparate departments within an organization. According to recent surveys of major metropolitan hospitals , departments that typically share the responsibility for credentialing include: The Compliance Office. Human Resources.
It supports compliance with laws like the Health Care Quality Improvement Act and standards set by accrediting bodies such as The Joint Commission. These processes verify that nurses possess valid, unrestricted licenses and necessary certifications to practice legally and safely.
Federal payments for healthcare services account for 28% of all healthcare spending in the United States. The List of Excluded Individuals/Entities (LEIE) is maintained by the Department of Health and HumanServices (HHS) Office of the Inspector General ( OIG) and dictates which providers are excluded from receiving federal funds.
As government agencies and national regulatory organizations pass more regulations and the need for healthcare services grows, healthcare compliance officers (HCOs) are more important than ever. Healthcare entities must comply with an increasingly complex and changing set of laws and regulations. Reimbursement. Healthcare administration.
Dive with us as we explore the complexities and necessities of compliance in the healthcare sector. Health Insurance Portability and Accountability Act (HIPAA) HIPAA is a pivotal regulation that focuses on the protection of patient healthinformation, enforced by the U.S. Department of Health and HumanServices (HHS).
Written by Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS The Federal Hospital Price Transparency Rule helps Americans know the cost of a hospital item or service before receiving it. In the US, hospital prices vary widely but are not visible to patients or the public.
Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.
Tech solutions in health care are getting the spotlight these days. And if the solutions are related to the care process itself, both service providers and on-site specialists need in-depth clinical knowledge to make it happen. However, developing new tech solutions can also bring increased complexity with it.
As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! Check out the community’s predictions down below and be sure to follow along as we share more 2025 Health IT Predictions !
The Department of Health and HumanServices once again (for the ninth time) extended the public health emergency this past month , stretching it beyond mid-July. But sooner or later, that provision of the Public HealthService Act will draw to a close. We spoke recently with Allison M.
Did you know that for every 1,000 licensed healthcare practitioners there will typically be 20 with inactive licenses, 10 with a suspended license, and another six practitioners with either a restricted or revoked license, or on probation? By carefully screening the practitioner and continually monitoring his license.
US Drug Enforcement Administration (DEA): Public Notice: The DEA has issued a notice of a public listening session requesting input concerning the practice of telemedicine with regards to controlled substances and potential safeguards that could effectively prevent and detect diversion of controlled substances prescribed via telemedicine.
On average, for every 1,000 licensed healthcare workers, there are three currently excluded individuals, seven historically excluded individuals, two sex offenders, two patient abusers, 20 practitioners with inactive licenses, three practitioners on probation, two with restricted or impaired licenses, one revoked license, and 10 suspended licenses.
Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.
Centers for Medicare & Medicaid Services : The USDepartment of Health and HumanServices has issued a final rule update concerning guidelines for COVID-19 vaccination requirements for Long-Term Care Facilities (LTC) and Intermediate Care for Individuals with Intellectual Disabilities (ICFs-IID).
Written by: AIHC Blogger This educational article is based on clinical information as of the publication date and primarily based on government and coding guidelines to assist coders, billers, clinical documentation improvement professionals and auditors address appropriate documentation for filing claims in the United States.
The following is a guest article by Rachel Podczervinski MS, RHIA, Vice President of Professional Services at Harris Data Integrity Solutions. House and Senate Labor, Health and HumanServices, Education, and Related Agencies (Labor-HHS) appropriations bills. million per year in denied claims and lost revenue.
Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.
News ranks hospitals in health equity. These hospitals earn top honors. These hospitals earn top honors. facility Southern Research CEO talks biotech incubator, future of Birmingham medicine ALASKA Juneau’s hospital is bleeding cash. list includes 3 from Arizona ARKANSAS Children’s Miracle Network Raises $5.4M
Vincent North in Sherwood Washington Regional Medical System Names Lucas Campbell as VP & Chief Transformation Officer 4 more Arkansas hospitals awarded federal funds Arkansas Legislative Council approves Department of HumanServices’ requests for $13.4M Opens in North Little Rock CHI St.
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