Corporate Compliance in the Era of TEFCA
A culture of compliance means truly valuing an adherence to industry standards, rather than looking at SOPs as a series of boxes that need to be checked in order to claim that requirements have been met.
From Risk to Trust: Tackling Inefficient Provider Verifications in 2024 and Beyond
The NCQA proposed standards updates are just one part of a healthcare landscape undergoing rapid transformation, but the imperative for optimizing operational processes has never been clearer.
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Esperion Sets Its Sights on New Areas While Maintaining Commitment to Cardiovascular Health
In a recent interview, Esperion president and CEO, Sheldon Koenig talks about the reality of statin intolerance and his company’s expansion into new diseases
Tax Challenges for Healthcare Accounting Teams Bring Opportunity for Innovation
A good outsourced partner can work alongside in-house accountants and stay on top of the moving target of healthcare accounting regulations, addressing tax risks and identifying cost-saving opportunities.
The Rising Stakes of Healthcare Data Privacy in 2024: The Need for Practical Guidance
Where we’ve been, where we’re going, and how healthcare organizations can protect themselves from privacy risks caused by the Meta pixel and other third-party trackers
Demystifying Coding Compliance: 3 Key Strategies for Navigating the Regulatory Waters of RCM
Organizations must take a proactive approach by implementing a comprehensive education program, internal audits, and automation technology.
Hospitals Finally Reached Widespread Price Transparency Compliance in 2023
Hospitals markedly improved their compliance with price transparency regulations in 2023, according to a new report. It found that more than 90% of hospitals have posted a machine-readable file containing gross charges, negotiated charges and cash prices for the services and items they provide.
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MedCity News Pivot Podcast: How Emergency Departments Are Using Real-Time Data to Improve Outcomes
How can AI benefit and improve patient outcome in the emergency department? Watch the latest episode to find out.
How WedMD Is Helping Providers Stay Compliant When Using Web Tracking Tools
WebMD Ignite — the company’s division that offers tech solutions to providers and health plans — teamed up with healthcare privacy platform Freshpaint. Through the partnership, WebMD Ignite is seeking to help its customers — which include organizations such as Providence, Trinity Health, Advocate Aurora, VillageMD and Centene — use web tracking technology to grow their businesses while staying clear of data privacy risks.
CMS Is Getting More Serious About Penalizing Hospitals For Price Transparency Noncompliance
CMS has fined two hospitals in September for alleged violations of its price transparency rule. This marks the third month in a row that the agency has issued fines against hospitals for price transparency noncompliance, following a yearslong period of light enforcement.
Most Hospitals Are Still Violating HIPAA By Using Web Tracking Tools, Despite Federal Warnings
The federal government has warned hospitals that using third-party analytics tools on their websites could violate HIPAA, and more than 20 hospitals are facing class-action lawsuits over the use of these tools. But a recent analysis found that hospitals are doing a poor job of fixing their websites and preventing patient data collection.
Hospitals’ Price Transparency Compliance Is Improving Despite Remaining Low at 36%
About 36% of U.S. hospitals are in compliance with CMS' price transparency rule, up from 24.5% in February, according to a new report. This progress will remain slow unless CMS can do a better job of effectively enforcing its rule, the report declared.
The Power of One: Redefining Healthcare with an AI-Driven Unified Platform
In a landscape where complexity has long been the norm, the power of one lies not just in unification, but in intelligence and automation.
In Rare Move, CMS Fines 2 Hospitals for Price Transparency Violations
CMS recently fined two hospitals for alleged violations of its price transparency rule. These fines are only the third and fourth penalties issued by the agency since the rule took effect on January 1, 2021. These fines may become more common — CMS also announced that it is updating its enforcement process for the rule.
Amid Economic Uncertainty, Health Systems Prioritize ROI
By evaluating the potential of healthcare operations software investments to affect each of these three key outcomes areas — patient outcomes, workforce outcomes, and risk and compliance outcomes — CIOs can make informed decisions that drive value and improve outcomes for patients, providers, and the entire organization.
Top 5 Compliance Issues for Medtech Firms Transitioning To Data-enabled Solutions
Medtech companies should be particularly mindful of the following legal and regulatory compliance issues. This is especially true for companies transitioning to data-based services.
Top 5 FDA considerations for medtech-enabled data platforms
Medtech companies should have a team of FDA advisors at the ready to develop and implement pre- and post-market strategies, prevent and resolve pre- or post-market issues and guide lifecycle management
The future of regulatory labeling compliance depends on technology adoption
The life sciences industry is more quickly adapting to new methods, standards and requirements. The focus is now on how to drive greater data governance and quality through a unified framework. The challenge comes in instituting a framework that will meet regulatory and labeling requirements.