Minority Nurse

JUNE 23, 2025

According to the American Association of Colleges of Nursing (AACN), nursing schools turned away thousands of qualified applicants in 2022, with “insufficient clinical placement sites” cited as a primary barrier.

Precepting 52

Precepting Scheduling Care Plan Follow-Up 52

Sensible Medicine

JULY 17, 2025

High blood pressure killed nearly 686,000 Americans in 2022. The Insurance Companies Knew First The medical profession's relationship with hypertension has an embarrassing history. It was insurance companies, not doctors, who first identified the dangers of high blood pressure. Please consider becoming a free or paid subscriber.

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Follow-Up Insurance Medication Documentation 307

The HIPAA Journal

APRIL 29, 2025

A settlement has been agreed to resolve litigation stemming from a 2022 data breach at AllCare Plus Pharmacy. The Northborough, MA-based pharmacy detected the security incident on June 21, 2022, when suspicious activity was identified in an employees email account. A lawsuit – C eleste Brown, et al.

Follow-Up 105

Follow-Up HIPAA Best Practices Documentation 105

Minority Nurse

FEBRUARY 22, 2024

During the COVID-19 pandemic, the National Council of State Boards of Nursing (NCSBN) (2022) estimated over 100,000 registered nurses left the profession and predicted that another 800,000 nurses would follow them by 2027. According to the Joint Commission (2022), 1,441 sentinel events were reported in 2022, a 19% increase from 2021.

Patient Care 111

Patient Care Critical Thinking Hospital Patient Safety 111

Arkenea

JULY 12, 2024

Medical insurance verification software is developed to automate the process of verifying patients’ insurance coverages. This software is connected to the insurance company’s database to retrieve real-time data on a patient’s insurance status. In 2022, 92.1 percent of people, or 304.0

Insurance 52

Insurance EHR / EMR Medication Patient Satisfaction 52

Minority Nurse

NOVEMBER 14, 2022

Nurses Service Organization (NSO) and CNA have published the new edition of the Nurse Practitioner Professional Liability Exposure Claim Report analyzing 232 closed professional liability claims against NPs, student NPs, and NPs covered through a CNA-insured healthcare business over five years (2017-2021). Incomplete physical assessment.

Vital Signs 98

Vital Signs Documentation Diagnostics Patient Safety 98

The HIPAA Journal

MAY 23, 2025

million settlement to resolve claims stemming from a 2022 data breach that affected more than 2 million patients.Shields Health Care is a Massachusetts-based provider of ambulatory surgical center management and medical imaging services throughout New England. Shields Health Care Group has negotiated a $15.35

HIPAA 83

HIPAA Documentation Billing Insurance 83

Health Populi

MARCH 2, 2021

But another patient side-effect of COVID-19 has been the digital transformation of many patients , documented by data gathered by Rock Health and Stanford Center for Digital Health and analyzed in their latest report explaining how the public health crisis accelerated digital health “beyond its years,” noted in the title of the report.

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Follow-Up Hospital Insurance Medication 174

The HIPAA Journal

JULY 15, 2025

A class action lawsuit against ProSmile Holdings LLC over a 2022 data breach has been resolved, with all parties agreeing to a $440,000 settlement. The litigation was initiated in response to a cyberattack that involved unauthorized access to the protected health information of 39,674 individuals. A lawsuit – Middleton v.

HIPAA 71

HIPAA Documentation Scheduling Insurance 71

ACMA Blog

JULY 9, 2024

Between 2013 and 2022, about 10% of rural independent retail pharmacies closed. Given the current state of PBM dominance, pharmacists, health insurers, and drug manufacturers often have little choice but to interact with the large, dominant PBMs when distributing certain drugs. OptumRx, Inc., Humana Pharmacy Solutions, Inc.,

Insurance 98

Insurance Patient Centered Care Medication Certification 98

The HIPAA Journal

DECEMBER 24, 2022

The Health Insurance Portability and Accountability Act of 1996 placed a number of requirements on HIPAA-covered entities to safeguard the Protected Health Information (PHI) of patients, and to strictly control when PHI can be divulged, and to whom. The last official update to apply the inflation increases was in March 2022.

HIPAA 124

HIPAA Business Associate Follow-Up Medication 124

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 52

Insurance Documentation Follow-Up Communication 52

Healthcare Dive - Practice Management

JUNE 10, 2024

From 2020 to 2022, CityMD falsely documented insured patients as uninsured before fraudulently billing the federal government for their COVID-19 care, according to regulators. CityMD denies the allegations.

Documentation 44

Documentation Billing Insurance 44

MedCerts

APRIL 8, 2024

MS 2000: Microsoft Office Series I: This two-week course focuses on creating, editing and enhancing Word and Excel documents. Bureau of Labor Statistics (BLS), this path could see 6% growth between 2022 and 2032, which is faster than average. You’ll also learn to analyze data and perform calculations. According to the U.S.

Medication 73

Medication Medical Administrative Assistant Medical Terminology HIPAA 73

Health Prime

JULY 27, 2023

It involves obtaining approval from insurance companies before a specific procedure, treatment, or medication is administered. The prior authorization process acts as a bridge between healthcare providers and insurance companies, safeguarding the financial interests of both parties.

Insurance 40

Insurance Documentation Follow-Up Communication 40

The Healthcare Blog

APRIL 2, 2024

billion (or 60% of its total revenues) represent clinical and business services provided to United’s Health Insurance business. Some are returned to insurers other than United for which Optum Rx processes pharmaceutical claims. And some are kept as profit inside either Optum Rx or United’s health insurance business.

Tests 132

Tests Hospital Insurance Follow-Up 132

ACMA Blog

OCTOBER 8, 2024

Many healthcare providers may prescribe treatments that are not considered routine or may be expensive, an insurance company may need prior authorization (PA) to determine whether they will cover what the healthcare providers recommends 4. The healthcare provider must get approval from the insurance company.

Medication 40

Medication Insurance Documentation Follow-Up 40

ACMA Blog

JUNE 25, 2024

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS): A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Insurance Certification 40

ACMA Blog

OCTOBER 16, 2023

It is the insurance or payers’ way of controlling costs by approving or denying certain medications, procedures, or devices that may not usually be covered or is on a higher tier on the formulary. Clinical Documentation Specialist (CDS) : A CDS can help in the PA process by accurately documenting patient records.

Medical Assistant 40

Medical Assistant Documentation Certification Communication 40

Arkenea

JANUARY 21, 2025

Decades ago, healthcare professionals documented patient data in paper charts, which was time-consuming and susceptible to human error. It is maintained by the World Health Organization (WHO) and is currently in its 10th revision, known as ICD-10, with ICD-11 to be officially implemented in 2022.

Billing 52

Billing Documentation Patient Care Communication 52

Minority Nurse

NOVEMBER 22, 2023

Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.

Unit Organization and Environment 59

Unit Organization and Environment Patient Safety Best Practices Hospital 59

Arkenea

AUGUST 16, 2024

Shields Healthcare Group In May 2022, a medical imaging service provider in Massachusetts announced that in March, a cybercriminal had unlawfully accessed some of its IT systems. Their misuse of a popular website tracking tool resulted in the data of three million patients being leaked in July 2022.

HIPAA 52

HIPAA Patient Records Medical History Clinical Operations 52

Health Prime

FEBRUARY 7, 2024

Establish a robust system that verifies insurance information before the appointment. Patient statements Patient billing statements are comprehensive documents that provide patients with a summary of the services they have received and the associated costs. This process starts before the patient is checked in.

Billing 52

Billing Follow-Up Communication Insurance 52

Valant

MAY 3, 2024

Self-pay fees for your most used insurance codes should be included, and you should reiterate your cancellation and no-show fees here. Your practice’s fee for a no-show may be higher, and, as with cancellation fees, is not covered by insurance. Note that some practices may opt to split Consent for Services into a separate form.

HIPAA 52

HIPAA Appointments Insurance Communication 52

Arkenea

JULY 12, 2024

A referral process involves obtaining patient information such as insurance details, and demographics; also scheduling appointments. percent CAGR between 2022 to 2030 ). Plus, the system displays completed patient forms and sends alerts if some documents are missing or lacking certain data.

Medication 52

Medication Follow-Up Appointments Tests 52

Physicians Practice

JULY 24, 2025

© yavdat - stock.adobe.com For years, there was pushback by the Government that violations of the Health Insurance Portability and Accountability Act of 1996 ( HIPAA )[1] constituted a basis for False Claims Act ( FCA ) violations.[2] 1] Health Insurance Portability and Accountability Act of 1996, Pub. 104-191 (Aug. 111-5 (Feb.

HIPAA 40

HIPAA Communication Billing Documentation 40

Arkenea

OCTOBER 16, 2024

This includes the ADA (Americans with Disability Act), HIPAA (Health Insurance Portability and Accountability Act), and the WCAG (Web Content Accessibility Guidelines). They are required to make public documents available online, and offer IT, electronic, and web-based training.

Best Practices 84

Best Practices Communication Hospital Tests 84

Arkenea

AUGUST 15, 2024

Shields Healthcare Group In May 2022, a medical imaging service provider in Massachusetts announced that in March, a cybercriminal had unlawfully accessed some of its IT systems. Their misuse of a popular website tracking tool resulted in the data of three million patients being leaked in July 2022.

HIPAA 40

HIPAA Patient Records Medical History Clinical Operations 40

CollaborateMD

JANUARY 3, 2024

The industry experienced 1,410 cyberattacks a week in 2022, an increase of 86%. Understanding HIPAA Regulations HIPAA, or the Health Insurance Portability and Accountability Act , became law in 1996. That includes submitting claims to insurance and creating invoices for self-pay. Healthcare is a favorite target for hackers.

HIPAA 52

HIPAA Billing Medication Best Practices 52

The HIPAA Journal

APRIL 27, 2025

In 2022 and 2024, OCR resolved 22 HIPAA violation cases with financial penalties. Further data breach reports were filed with OCR in September 2019, January 2020, April 2020, and June 2022 that were also due to credential stuffing attacks, although the subsequent attacks only affected 484 individuals. The case was settled for $30,000.

HIPAA 85

HIPAA Business Associate Hospital Medication 85

Relias

AUGUST 5, 2022

Despite the hardship, Rocky and Leo Baiera were born healthy, weighing 3 pounds, 6 ounces each on January 27, 2022. They were also able to take time away from their jobs, and they had good health insurance coverage. What Went Right and What We Can Learn. They also had a solid support system of friends who helped with meals.

Patient Safety 52

Patient Safety Hospital Communication Appointments 52

CareerStep

FEBRUARY 20, 2024

Through the AAPC, medical coders can receive documented certifications indicating their knowledge and understanding of Medical Billing, Medical Auditing, Medical Compliance, and more. The CPC-P is for those who are employed by insurance providers, Medicare, or Medicaid. For example, you can’t have a 2020 and 2022 edition of the ICD-10.

Medical Coding 52

Medical Coding Certification Medical Terminology Billing 52

The HIPAA Journal

JULY 15, 2025

The False Claims Amendment Act in 1986 lowered the bar for proof of fraud and increased the fines the OIG could impose, while the Health Insurance Portability and Accountability Act (HIPAA) in 1996 established the Health Care Fraud and Abuse Control (HCFAC) Program.

HIPAA 40

HIPAA Billing Follow-Up Documentation 40

The HIPAA Journal

MAY 1, 2024

A federal court judge has recommended a class action lawsuit against CommonSpririt Health over its 2022 data breach should be dismissed due to the failure of the plaintiff to demonstrate that they had been harmed by the data breach.

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HIPAA Documentation Insurance Medication 114

Healthcare Law Insights blog

MARCH 12, 2024

5] MHPAEA requires covered individual and group health plans and issuers of health insurance (collectively “Health Plans”) to collect and evaluate data and address the material differences between access to MH/SUD benefits when compared to medical/surgical benefits. 2020), [link]. [2] 2] David C. Sheridan, et al., 4] Dep’t Health Hum.

Documentation 64

Documentation Insurance Medication 64

Pulmonology Advisor - Practice Management

OCTOBER 13, 2023

The 2022 report found that of 11,000 physicians surveyed, 72% reported being satisfied with their job. A 2022 study from Shanafelt and colleagues published in Mayo Clinic Proceedings found that 57.1% of the 2440 physicians surveyed would choose to become a doctor again. of those who responded said they would choose the same path.

Follow-Up 52

Follow-Up Scheduling Medication Hospital 52

Accepted Blog

SEPTEMBER 19, 2023

Massachusetts passed a law five years before the Affordable Care Act that said everybody has to have insurance, and we hugely expanded Medicaid. So 98% of the population of Massachusetts is insured. It doesn’t matter if they qualify for insurance. We don’t need a free clinic because we are a free clinic.

Admissions 52

Admissions Medication Follow-Up Hospital 52