Topic:

Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

4 ways to prevent patient "leakage"

Healthcare providers can take several steps to reduce patient "leakage," the industry term for primary care physicians who refer patients to out-of-system providers, rather than to those in their network, resulting in significant business losses, according to a blog post from Simon Associates' Kriss Barlow.

In this era of obstruction, RACs do not stand a chance

A century and a half ago, Walt Whitman published a poem about the music carpenters, masons and other workers made as they went about their day. Americans make few products by hand now, so masonry...

Choosing Wisely for radiology: More than a conversation starter

When the Choosing Wisely campaign was launched in 2012, the stated goal of the initiative was to "spark conversation" about the necessity of certain frequently ordered tests and treatments. Currently, we are seeing evidence that Choosing Wisely recommendations--many of which are related to radiology and medical imaging--are, indeed, having an impact.

AHA wants contractors to cough up money in short-stay settlement offer

The protracted war between hospitals and recovery audit contractors over how  to handle short-stay payment appeals took a new turn as the American Hospital Association demanded a new concession in a recent settlement offer over RAC clawbacks..

Texas Health Resources' Ronald Mehring: Teamwork crucial to tackling HIPAA audits

With HIPAA audits looming from the U.S. Department of Health and Human Services Office for Civil Rights, provider organizations are working tirelessly to ensure that when the federal government comes knocking, they won't be caught off guard. For Ronald Mehring, chief information security officer at Dallas-based Texas Health Resources, one of the most important aspects to preparation is teamwork.

Hospital security planning will play part in containing Ebola virus

Hospital security policies and personnel can play a huge role in preventing the spread of the Ebola epidemic that is raging on in West Africa, according to an article at  SecurityInfoWatch.com.

Cigna, Blue Shield of Calif. sued for 'bait and switch' scheme

The pushback against narrow networks across the nation continues in the form of legal action as a consumer group filed lawsuits against Cigna and Blue Shield of California on Thursday.

In twist on medical-loss ratio, insurers back health startups

Insurers are pumping money into digital health startups--a sector that's raising record amounts of cash.

ICD-10 struggles continue to plague providers

Provider progress in transitioning to ICD-10 has been hampered by the most recent delay--enforced via the passage of the Protecting Access to Medicare Act last spring--according to survey results released this week by the Workgroup for Electronic Data Interchange.

OCR officials mum on HIPAA audit program launch

The healthcare industry should expect to see ramped up enforcement of HIPAA as security breaches of electronic and even paper patient protected health information continue to plague covered entities and business associates, according to Iliana Peters, senior adviser at the U.S. Department of Health and Human Services' Office for Civil Rights for compliance and enforcement.