Compliance & Legal

Jun 26 | Susan Morse

AMA files lawsuit to block law forcing physicians to give scripted information regarding abortion

North Dakota and eight other states have passed laws requiring providers to tell patients…

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Jun 25 | Mike Miliard

EHRA to CMS on IPPS rules: focus 'high-value' measures, keep 90-day reporting

The HIMSS EHR Association tells the Centers for Medicare & Medicaid Services that the Promoting…

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Jun 19 | Jeff Lagasse

Democrats, Republicans agree politics should be taken out of health policymaking

Most respondents to a public opinion survey say evidence should have "a lot of influence" on…

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May 16 | Mark Klimek

Chinese nationals indicted for Anthem hack from 2014

Anthem last year was required to pay $16 million in the most costly HIPAA fine ever, for what remains the largest data breach for the…

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May 14 | Susan Morse

Judge rules against CVS/Aetna in allowing witness testimony over merger agreement

Testimony is expected to center on the impact of the merger on pharmacy benefit management markets, judge…

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May 13 | Susan Morse

States bring price fixing lawsuit against Teva and other drug makers

Teva colluded with 20 competitors on 86 generic drugs to avoid price erosion and keep inflated prices high, lawsuit says.

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May 09 | Mark Klimek

Astria Health blames revenue cycle contractor for bankruptcy

Operations continue, wages are unaffected and none of the health system's three hospitals or other care centers will close,…

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May 09 | Jeff Lagasse

Patients of Medicare providers committing fraud or abuse more likely to be poor, disabled

Fraudulent medical practice is estimated to cost the federal government between $90 to $300 billion…

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May 08 | Jeff Lagasse

Acadia Healthcare to pay $17 million in settlement of Medicare fraud case

Medicaid paid Acadia's facilities a much higher amount for blood and urine tests than its lab had charged for…

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May 02 | Susan Morse

Office of Civil Rights final rule steps up enforcement of conscience and religious rights

This includes the protection of medical conscious of practitioners, says OCR Director Roger Severino.

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Featured Resources

Care Collaboration Success for Improved Outcomes The nature of our healthcare ecosystem has been one of siloed care. Rarely do payers, providers and local resources come together with the patient's well-being prioritized as a unifying mission. Read how these organizations are getting it right.

Beyond Dollars and Cents: A Closer Look At Value Beyond the expected improvement in specific metrics, many organizations that outsource RCM with a trusted and certified partner are seeing several ancillary benefits of such agreements.

Debunk the Myth: Outsourcing Doesn't Mean Losing Control With shifts in payer mixes and reimbursement structure, the margin of reimbursement has been shrinking steadily over the last five years. How do revenue cycle leaders navigate payment reform while maintaining stable business office operations?

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Once-failing hospitals say accountability, transparency key to surviving fallout from failing patient safety grades When Leapfrog released their Spring 2016 patient safety grades recently, 15 hospitals got slapped with a very public 'F' grade casting a spotlight on them that no institution wants. ...

Analyze this: Health systems, health plans get to the core of big data Pamela Peele knows that people who subscribe to cooking magazines have a much higher risk of going to the emergency room. But how she knows that is a whole other story.

Healthcare mergers and acquisitions in 2016: Running list While 2015 was a record-breaking year in healthcare mergers and acquisitions, 2016 saw more change as organizations across the industry adjust and adapt to the evolving financial landscape.

Whitepapers

Credible, Defensible Estimates In healthcare, every interaction with the patient matters. Especially in today’s environment of continuous improvement, efforts have been concentrated on coordination among providers, the patient care experience and quality outcomes – all laudable goals.

Gaining Actionable Insight into Financial Systems and Areas Impacting the Revenue Cycle Hospital systems across the country are looking to streamline their billing and collection processes to become more efficient and better compete in their markets. The challenge many face is how to turn the data ...

Clinical Quality Measures 101 Although quality-reporting programs such as meaningful use provide incentives to help providers implement and use electronic health records (EHRs) to collect and report on clinical data, practices often need help deciding what data to collect, which measures to report ...

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