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" Since HL7 pledged to share the standards free of charge under licensing terms, many partnerships and collaborations with both public and privatehealthcare entities have bloomed. Andrea Fox is senior editor of Healthcare IT News. Healthcare IT News is a HIMSS publication. Email: afox@himss.org.
Healthcare fraud is a significant issue in the U.S. and one that continues to grow in scale as fraudulent actors seek to exploit the healthcare system for their own financial gain. the cost of healthcare fraud in the country is close to $100 billion a year. According to the U.S. Department of Justice (D.O.J.),
For this woman, the issue is not simply a matter of not having received what, in her view, was adequate training, but also the anxiety she feels about potentially causing harm to her husband each time she carries out a skilled level of care that she believes would be better left to a qualified healthcare professional. Bad News, Good News.
of the distribution, according to other findings reported in a FAIR Health brief released today, A Window into Utilization and Cost of Ground Ambulance Services: A National Study of PrivateHealthcare Claims. In 2022, out-of-network transport accounted for 59.4% of all ground ambulance claim lines in 2018 compared to 59.4%
HCFAC uses advanced data analytics to monitor and target high-risk public and privatehealthcare programs, providers, and trends to identify HHS’s most significant risk areas and to better target fraud, abuse, and waste. During fiscal year 2022 (FY 2022), over $1.7 billion was returned through HCFAC’s enforcement actions. for every $1.00
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