The Health Insurance Portability and Accountability Act (HIPAA) was made a law on 21 August 1996. HIPAA is still the law with jurisdiction over privacy and security of personal...
The Office of the National Coordinator for Health IT has set a few new standards in their latest draft on how data should be shared by the Electronic Health...
The Centers for Medicare and Medicaid Services (CMS) has released a final rule last month, titled “Expanding Uses of Medicare Data by Qualified Entities,” that describes the situations under...
A group of Republican senators recently introduced a Bill S.3173 at the House, called the Electronic Health Regulatory Relief Act, which is aimed at decreasing the burden of Medicare...
CMS recently announced new proposals to expand its bundled payment model in association with the development of Alternative Payment Models. According to the proposal, 98 metropolitan areas selected by...
The Office of National Coordinator for Health IT recently published a post explaining the newly established metrics by HHS to evaluate EHR interoperability under MACRA. ONC has to develop...
Recent studies estimate that as of 2015, every male turning 65 is expected to take prescription medicines worth $195,000 in lifetime Medicare benefits. It is predicted that by 2035,...
CMS recently announced that they have approved the plans of Arizona to allow new enrollment in the Children’s Health Insurance Program (CHIP). Enrollment for the plan was put on...
The revised enrollment figures for health insurance exchanges have now been released by the Department of Health and Human Services (HHS). The report shows that the number of consumers,...
The Congress established Medicare Payment Advisory Commission (MedPAC) as a self-governing agency for advices on Medical reimbursement policy issues. Doing its part, MedPAC sent a report to Congress last...
The increasing concerns over opioid epidemic have forced the US Health and Human Services (HHS) to implement several initiatives to stop the outbreak. Some of the new initiatives include...
This is an election year for America and the expectations of Congress passing legislations are high. But against the expectations, Congress is willing to pass a bill that addresses...
The merger between the two major insurance companies, Aetna and Humana, face new challenges. Despite that, CEOs of the two companies remain confident that the merger will be completed...
Last month, the American Hospital Association expressed their concerns on using meaningful use data for measuring EHR interoperability, and advised the Office of the National Coordinator for Health Information...
In December last year, the Government Accountability Office came out with findings that physician practices had accelerated in recent years along with physician employment. The analysis they brought showed...
Starting with the 2017 open enrolment period, the administration will test a star rating system to mark plans sold on Federal HIEs in five states. This will expand to...
CMS just let out a Proposed Rule on the implementation of MACRA, a few days after the one-year anniversary of the Act itself being passed. The rule lays out...
The current outlook for healthcare reimbursement is commonly regarded as tricky. These days, insurance companies and other payers follow an increasingly complex system, which confuses providers through convoluted rules,...
For eligible providers who fail to meet the criteria specified for satisfactory reporting or participation in the 2016 Physician Quality Reporting System (PQRS), the one thing they can look...
The credentialing process is one of the many areas where practices can maximize their revenue. However, it has many potential pitfalls, which solo and group practices will need to...