Topic:

Regulatory & Risk Management

Latest Headlines

Latest Headlines

6 HIPAA best practices you're probably not following

If you think breaches are the only issue you have to worry about regarding HIPAA enforcement, you're wrong, according to David M. Vaughn of Vaughn & Associates, LLC, in Louisiana. Vaughn...

Doc Medicare payment data release may expose self-referral

The federal government could expose doctors who receive substantial payments from unnecessary tests and procedures when it releases doctors' Medicare payment data, according to Bloomberg  Businessweek.

Physician availability depends on coverage type

Despite coverage expansion under the Affordable Care Act, the law does not guarantee physicians' availability or willingness to accept a patient's form of insurance, a new study from JAMA New Medicine finds.

CMS reverses course on Medicare Advantage cuts

Health insurers operating Medicare Advantage plans no longer have to fear impending cuts to the program. Not only did the Centers for Medicare & Medicaid Services not implement its proposed cuts, it actually increased rates for next year.

Attorney: Cloud vendor contracts wrought with pitfalls

Despite the surge by providers to cloud-based electronic health record systems, cloud vendor contracts still are wrought with pitfalls and "threats", according to attorney Steven Fox with Post & Schell, who spoke on a recent webinar sponsored by the American Bar Association's Health Law Section.

Anonymous, phony online reviews leave docs vulnerable

As more patients make decisions regarding primary care and surgical procedures based on information available on the Internet and online reviews, doctors and hospitals are at a higher risk of losing credibility and business by phony and anonymous negative reviews, according to  BuzzFeed  contributor Jake Rossen.

H.R. 4302: Duct tape, delays and decision support

By Matt Hawkins, M.D.   A permanent fix to the sustainable growth rate formula eluded Congress again--stunning, I know. Another year of SGR duct tape. And ICD-10 was laughably delayed for yet another year. (How many ICD-11 jokes have you heard over the last couple of weeks?)  This kind of partisan-driven politicking escalates the apathy that many physicians already have for Washington. But maybe that's their objective.

SGR fix good for imaging, but a bad way to make policy

While the passage of the Protecting Access to Medicare Act--which includes a 12-month Sustainable Growth Rate patch and a delay in the implementation of ICD-10--appears to be a good news/bad news proposition for many healthcare organizations, the imaging community is giving it full its full support. While it's easy to see why, that doesn't mean it's a good way to make public policy.

OIG claims NJ hospital overbilled Medicaid by $19M

New Jersey overbilled the Medicaid program by as much as $22 million in 2007, and the hospital responsible for the bulk of overpayments is trying to quickly distance itself from the issue, according to NJ.com.

Failure to meet new dose reduction standards could jeopardize Medicare dollars

A provision of the sustainable growth rate patch legislation will penalize radiology professionals using CT equipment that doesn't comply with new dose management standards.