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When Will Self-Service Come to Health Care?

Health Populi

At least one in three people who have tried out virtual health care have done so because they use technology in all aspects of life and want to do the same with their healthcare. A common theme at health care meetings these days is how and when health care will meet its Amazon, Apple, or Uber moment? ” .

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UnitedHealth Group Confirms Data Stolen in Change Healthcare Ransomware Attack

HIPAA Journal

UnitedHealth Group said it was unable to confirm whether data had been stolen until now as Change Healthcare’s systems were difficult to access and it was not safe to pull any data out of those systems directly. Key systems have now been restored but many Change Healthcare IT products and services remain offline.

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Compliance Risks Associated with Outlier Payments 

YouCompli

Price increases can sometimes result in inappropriate outlier payments. Most federal healthcare payors such as Medicare and Medicaid reimburse most providers on a prospective basis. This is why Medicare publishes its rules on their Inpatient Prospective Payment System (IPPS) or its Outpatient Prospective Payment System (OPPS).

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June Regulatory Update

Verisys

Centers for Medicare & Medicaid Services : The US Department of Health and Human Services 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).

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CMS Finalizes its Proposal to Advance Interoperability and Improve Prior Authorization Processes

Healthcare Law Blog

On December 13, 2022, the Centers for Medicare and Medicaid Services (“CMS”) issued a proposed rule, titled Advancing Interoperability and Improving Prior Authorization Processes (“Proposed Rule”), to improve patient and provider access to health information and streamline processes related to prior authorizations for medical items and services.

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Recent Developments under 340B Program

Natalia Mazina

Safety-net providers play a critical role in delivering healthcare services in this country. On another, Medicare Part B recently challenged payments to 340B providers. Medicare reimbursement cut In 2018, CMS implemented a 28.5% Medicare reimbursement cut In 2018, CMS implemented a 28.5% 10,272 (Mar. 2023) 58 F.4th

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Investigation of Hospitals Hiding Prices from Patients

AIHC

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.