It certainly comes as no surprise to members of radiology practices to suggest that the today's health care fraud enforcement climate is very different from that of even a few years ago. The amount of resources dedicated to enforcement activities has grown dramatically each year since 1992. ...
Integrating the concept of healthcare data governance, it’s essential to recognize the role of data governance in healthcare. Healthcare data governance is a subset of healthcare governance focused on the proper management, security, and utilization of data within the healthcare setting. It is c...
The major benefit of using healthcare data analytics is the utilization of the large amount of data lying here and there. EHRs are a means to store patient-related data in an organized manner. They are like digital records that can be accessed anytime by the concerned parties for the patien...
Today, complete medical records currently sell for as much as $1,000 on the Dark Web. It is no surprise that healthcare call and contact centers are prime targets
When is open enrollment if I get health insurance through my work? If you get health insurance through work, your employer sets the open enrollment period. It’s typically in the fall so that your benefits can start at the beginning of the calendar year.Choosing a health care plan for the...
Change Healthcare is a healthcare technology provider ofrevenue cycle management, payment management andhealth information exchangesolutions. Focused onvalue-based healthcaresystems, the company creates products for payers, providers and patients.
Fraud detection for health care Learn About Other Industries Select industry How Fraud Prevention Works Fraud detection and prevention is not a static process. There’s no starting and ending point. Rather, it’s an ongoing cycle involving monitoring, detection, decisions, case management and learnin...
For PA residents only: As long as you pay your premiums when due. You do not misstate one or more material facts when you apply for this plan. UnitedHealthcare has 2 years to act on misstatements. The 2 year limit does not apply to fraud. ...
As part of HHS' ongoing evaluation of its self-disclosure process, the OIG recently issued an update to the newly renamed Healthcare Fraud Self-Disclosure Protocol.
The law requires oversight of health insurance premiums and practices, reducing healthcare fraud and uncompensated care, to foster comparison shopping in insurance exchanges to increase competition and price transparency. Pros and Cons of the Affordable Care Act ...