Medisys Compliance
JUNE 23, 2024
Introduction In the ever-evolving landscape of healthcare, compliance with the Health Insurance Portability and Accountability Act (HIPAA) is crucial for protecting patient information and maintaining trust. Enacted in 1996, HIPAA is a federal law designed to safeguard patient health information (PHI) from fraud and abuse.
Medisys Compliance
DECEMBER 1, 2022
The use of past technologies has peaked, and novel advanced technologies are about to have a significant impact on how we live. New York is home to thousands of hospitals and medical facilities that serve millions of residents. Doesn’t that sound like a lot on the plates of the medical settings?
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Healthcare IT Today
JUNE 18, 2024
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.
Jane Sarashon
FEBRUARY 4, 2024
As a constant observer and advisor across the health/care ecosystem, for me the concept of a “health plan” in the U.S. Furthermore, health plan members now see themselves as medical bill payers, seeking value and consumer-level services for their health insurance premium investment. and ChatGPT.
Medisys Compliance
JULY 25, 2022
Recently published watchdog report found that private Medicare plans routinely rejected claims that should have been paid and denied services that reviewers found to be medically necessary. MAOs also denied payments to providers for some services that met both Medicare coverage rules and MAO billing rules.
MedTrainer
JULY 21, 2022
These hackers are costing health organizations millions of dollars and threatening the safety of patients. In January of 2018, Hancock Health of Indiana experienced a serious ransomware attack that forced their entire network to shut down. The breach affected physical therapists, gynecologists, and other medical professionals.
Compliancy Group
FEBRUARY 12, 2024
In one incident, a New Jersey pharmacy admitted to conspiracies to defraud benefits providers, including Medicare and Medicaid, of $65 million for medications never provided to patients. In the other fraud scheme, Medicare patients were billed an estimated $2 billion for urinary catheters they never received.
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