By Dan Healy and Michael Lipinski – In this blog post we share concerns that have been brought to our attention pertaining to potential violations of the information blocking regulations by health care providers as well as developers of certified health IT.
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As Cybersecurity Awareness Month draws to a close, the lessons learned should not be forgotten. Cybersecurity is an ongoing challenge that requires constant vigilance, training, and adaptation. #BeCyberSafe
By Mike Lanza – In the stop-loss industry, on occasion there can be tension between the Claim Payer (payer or TPA) and the Stop-Loss carrier when it comes to determining reimbursing claims that exceed the specific deductible. Most claims payers have a claims review process in place to ensure that claims payment follows the Employer’s Plan document.
By Conrad Coopersmith – The evolution of computer-assisted coding, computer-assisted professional coding, and artificial intelligence in revenue cycle management and medical coding is impacting how healthcare information is processed, coded, and managed.
By Dr. Gavin Magaha PharmD MS – The current turmoil surrounding the 340B Drug Pricing Program and Medicaid Drug Rebate Program. Bloomberg Law, recently reported that pharmaceutical manufacturers and a trade organization have filed at least 23 that extend 340B drug discounts to an unlimited number of contract pharmacies.
By Justin Barnes & Greg Fulton – Explaining new CMS policy allowing concurrent CCM and RPM billing for qualified patients, and examination of how chronic care dominates healthcare spending and the opportunity to embark on value-based care revenue streams through MIPS and ACO programs.
By Zac Amos – Social engineering and other interpersonal tactics are rising in frequency in the medical sector, so what red flags should medical professionals look for when identifying insider threats?
By Gary Hamilton & Celissa Halfhill – Some patient populations are harder to engage than others. No one understands this better than Community Health Centers, who tirelessly serve marginalized communities often overlooked by traditional healthcare systems.
By Michelle Padilla – Humans are often the weakest point of any cybersecurity system, but fortunately there are some easy practices you can personally put into place to make the online posture of both you and your healthcare organization more secure.