Topic:
Regulatory & Risk Management
Latest Headlines
Latest Headlines
OCR: Healthcare organizations unaware of privacy regulations
Recent HIPAA audits of provider and payer organizations conducted by contractor KPMG on behalf of the U.S. Department of Health & Human Services determined that many in the industry don't know which privacy regulations apply to them.
ACOs put provider data at risk
Under accountable care, healthcare providers and payers are increasingly shaing patient data--and with that comes increased risk that the information falling into the wrong hands.
500 groups urge Congress to kill IPAB
Pressure continues building to kill Medicare's Independent Payment Advisory Board, with more than 500 organizations banding together to send a letter to Congress on Thursday urging its repeal.
Anthem owes providers $3M for underpaid claims
Anthem Blue Cross has agreed to pay $3 million as part of a settlement with the California Department of Managed Health Care regarding claims it underpaid between 2007 and 2011.
Lawsuit against Anthem continues, despite reprocessing 28K claims
Anthem Blue Cross Blue Shield in Connecticut is going to reprocess thousands of behavioral health claims amounting to $400,000 in payments to mental health providers, according to the state insurance department.
AHA: No new HIE regulations necessary
The American Hospital Association does not want the federal government placing any additional health information exchange requirements on providers, it said in a recent comment letter to Centers for Medicare & Medicaid Services Acting Administrator Marilyn Tavenner and National Coordinator for Health IT Farzad Mostashari.
HHS proposes bigger reward for fraud tipsters
Medicare is dramatically upping the ante on Medicare fraud, increasing the reward for tips leading to the recovery of fraudulently obtained benefits to $9.9 million--up from just $1,000 today.
Could better manners spur bipartisanship on Meaningful Use?
I found last week's white paper released by six Republican Senators calling for a "reboot" of the Meaningful Use program fascinating. Not so much for what the senators said--although...
Senate confirmation for CMS administrator put on hold
Not long after receiving a unanimous endorsement by the Senate Finance Committee, Sen. Tom Harkin (D-Iowa) has placed a hold on Tavenner's nomination.
Tavenner wins Senate committee, provider support to head CMS
Marilyn Tavenner was unanimously endorsed Wednesday by the Senate Finance Committee to head the Centers for Medicare & Medicaid Services, which has been without a permanent administrator since 2006.
