HIT Consultant

APRIL 1, 2024

Improperly billed for services: The government alleges that TRG billed Medicare for radiology services performed by a radiologist located in the UK, which violates program regulations. The allegations against TRG raise concerns about the quality of care patients may have received and the potential misuse of federal healthcare funds.

Quality of Care 97

Quality of Care Regulations Federal Healthcare Healthcare Providers 97

HIT Consultant

AUGUST 21, 2023

Bias in training data can lead to unfair outputs, highlighting the ethical issue of accountability in AI decision-making. Furthermore, the “black box” nature of AI complicates transparency and trust, critical factors for widespread adoption in healthcare. Yet, this, too, has its risks.

Healthcare 98

Healthcare Regulations Accountability Pharmaceuticals 98

Sheppard Health Law

JANUARY 20, 2023

In Lieu of Services and Settings Background Though federal healthcare programs generally excluded non-clinical services from reimbursement, the evolution of value-based care prompted managed care plans to provide alternative benefits to enrollees under flexibilities in their risk-based contracts.

Medicaid 52

Medicaid Regulations Federal Healthcare Medicare 52

Etactics

SEPTEMBER 22, 2022

Fortunately, the Health Insurance Portability and Accountability Act (HIPAA) does help regulate healthcare fraud. But things become tricky when involving Federal healthcare programs. million to resolve its civil healthcare fraud case. Thus,it’s important to understand what constitutes healthcare fraud.

Healthcare 59

Healthcare Physical Therapy Medicare Accountability 59

Etactics

JANUARY 24, 2023

You see, a judge sentenced Fernandez to three years in prison for her role in the conspiracy to commit healthcare fraud. She was also indicted for making a false statement in a situation involving a federal healthcare benefit program. What happened that led to a woman spending three years in prison?

Healthcare 52

Healthcare Physical Therapy Doctors Medicare 52

Sheppard Health Law

JANUARY 6, 2023

By extending these flexibilities, the Act takes steps to ensure continuity of care for Medicare beneficiaries, provides regulators with additional time to determine which flexibilities will be made permanent, and also allows providers to adapt to a changing regulatory landscape. HDHP/HSA Safe Harbor for Telehealth Services.

Healthcare 52

Healthcare Medicaid Medicare Hospitals 52

Patient Safety Movement

AUGUST 29, 2023

2B: Create a learning ecosystem and shared accountability system to ensure that evidence-based practices are implemented and goals for reduced harms and risks of harm for all Americans are realized. 2C: Advance interoperability of healthcare data and assure free access to the tracking of harms and use of evidence-based solutions.

Patient Safety 52

Patient Safety Hospitals Prevention Doctors 52