Category: Healthcare News

HIPAA Security Rule Checklist

The HIPAA Security Rule Checklist helps covered entities, business associates, and other organizations subject to HIPAA meet the requirements of the Security Standard for the Protection of Electronic  Health Information (preferably known as the HIPAA Security Act). Compliance with regulatory security standards will reduce the risk of HIPAA violations and data breaches due to human […]
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Final Rule for Streamlining Prior Authorization Processes Unveiled

Final Rule for Streamlining Prior Authorization Processes Unveiled

In an effort to streamline prior authorization processes, provider bunches, including the American Medical Association (AMA) and the Medical Group Management Association (MGMA), have asserted that the ultimate goal of the new regulations will assist in facilitating a more efficient and effective prior authorization workflow. Provider bunches are commending CMS for finalizing understanding data-sharing approaches […]
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Navigating HIPAA Compliance in Healthcare Cyber security: Challenges and Strategies

Navigating HIPAA Compliance in Healthcare Cyber security: Challenges and Strategies

It is important to note that HIPAA compliance in healthcare cybersecurity was an issue that was unknown 20 years ago. Technology has also progressed very quickly, which has introduced many benefits, however, it also poses a major challenge: maintaining the privacy of patient information. At the heart of these privacy concerns is the Health Insurance […]
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CMS Unveils Final Rule to Streamline Prior Authorization Processes

CMS Unveils Final Rule to Streamline Prior Authorization Processes

Affected payers have to be sent earlier authorization choices inside 72 hours for pressing demands and seven days for standard requests. Under a last run the show discharged nowadays, affected payers will be required to send earlier authorization choices inside 72 hours for critical demands and seven calendar days for standard requests. The Centers for […]
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Enhancing Medicare Advantage Benefits for Patients and Providers

Enhancing Medicare Advantage Benefits for Patients and Providers

The AMGA says that expanding Medicare Advantage benefits would benefit patients, physicians, and others in the health care industry. For Medicare Part C, also known as Medicare Part C, and Medicare Prescription Drug Benefit Program (Medicare Part D), some policy and technical changes have been approved for 2025 by the association. A public comment period […]
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Healthier Horizons: Patient Experience Trends for 2024

Healthier Horizons: Patient Experience Trends for 2024

The healthcare landscape is undergoing an unprecedented evolution, set to drive a significant transformation in patient experience in 2024. Recent technological advancements, coupled with increased patient expectations for enhanced care, are converging with a comprehensive approach encompassing clinical, social, and behavioral facets of patient well-being. This convergence necessitates the modernization of care delivery systems to […]
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10 Prior Authorization Updates in 2023 

10 Prior Authorization Updates in 2023 

In 2023, multiple entities, such as the Health Insurance Company and health Services Company, declared reductions in prior authorizations. Healthcare Media provided further details on this and additional updates related to prior authorizations in the healthcare sector reported this year. According to a November 13 report from the Medical Group Management Association, 89% of medical […]
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Evolution of Recovery Audit Contractor (RAC) Audits: Challenges, Changes, and Current Landscape

Evolution of Recovery Audit Contractor (RAC) Audits: Challenges, Changes, and Current Landscape

The inception of Recovery Audit Contractor (RAC) audits dates back to 2005, reaching their zenith around 2010 before encountering a deceleration amidst the COVID-19 period. In 2006, Congress granted the Centers for Medicare & Medicaid Services (CMS) the authority to launch the Recovery Audit Contractor program across three initial states: New York, Florida, and California. […]
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How Implementing Site-Neutral Policies Can Help Reduce Healthcare Costs

How Implementing Site-Neutral Policies Can Help Reduce Healthcare Costs

The United States grapples with a healthcare affordability crisis, anticipating a 6.5 percent surge in costs due to inflation next year. Amidst concerns over escalating medical expenses, the deeper roots of these inflated prices often evade attention. Deficient government policies, notably Medicare reimbursement policies, contribute to consolidating the healthcare sector, ultimately driving up costs that […]
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