Topic:

Legal / Regulatory / Risk Management

Latest Headlines

Latest Headlines

Prior authorizations may become less painful in value-based market

When it comes to practice-management headaches, the hassle involved in obtaining prior authorizations from insurers often leads the list of complaints. And while many elements of fee-for-service reimbursement structures will begin to disappear as the industry moves toward value-based care, this most-disliked task won't be one of them, according to a recent article from  Managed Healthcare Executive.

Minnesota exempts some docs from EHR mandate

Minnesota is softening its stance on electronic health record adoption a bit, exempting solo practitioners and cash-only doctors from its law requiring all providers to adopt interoperable EHRs.

Returning to private practice? 3 keys to success

​At a time when physicians are increasingly forgoing independence to become employed by hospitals or health systems, some doctors have become so dissatisfied with working for others that they've decided to return to private practice.

California health department fines 12 hospitals $775K for patient deaths, injuries

The California Department of Public Health fined 12 Golden State hospitals nearly $800,000 for causing or risking death and serious injuries to patients, San Jose Mercury News reports.

Four words at heart of King v. Burwell a drafting error

The four words that prompted the Supreme Court to hear   King v. Burwell  may have made it into the final text of the law because of a drafting error.

Reproductive apps lack review, professional validation assessment

When it comes to female reproductive health tracking apps few have been developed, assessed or come recommended by health experts, according to research recently published in the journal  Obstetrics & Gynecology.

Doctors often blow whistle on financial improprieties

Most physicians make pretty good livings compared to most other Americans, but they can really strike it rich playing another role in healthcare: That of whistleblower,  JD Supra  has reported.

HL7's Reed Gelzer: EHR malpractice problem at 'critical mass'

As electronic health records become more common, they are increasingly the medical records relied on in medical malpractice litigation--often to the detriment of the provider, not only causing or contributing to the malpractice but also in not supporting provider's defense. 

HHS Office for Civil Rights sends preliminary surveys for Phase 2 of HIPAA audit program

The U.S. Department of Health and Human Services Office for Civil Rights has sent pre-audit screening surveys to covered entities that could be selected to participate in Phase 2 of the HIPAA audit program, OCR has confirmed.

Karen Ignagni's AHIP resignation comes at critical time for healthcare reform

The  departure of America's Health Insurance Plans President and CEO Karen Ignagni for the same role at New York nonprofit insurer EmblemHealth comes at a critical time for the health insurance industry.