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Navigating Medicare Advantage: Strategies for Hospitals to Tackle Growing Challenges

EvidenceCare

CMS Policy Changes to Reduce Costs Financial pressures are rising as CMS implements the updated Version 28 Hierarchical Condition Category (HCC) model , which introduces changes aimed at limiting types of codes that are most used for up-coding or over-coding to help rein in spending. For Star Ratings specifically, CMS spent $12.8

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Retina Group of Washington Agrees to $3.6 Million Settlement to Resolve Data Breach Lawsuit

The HIPAA Journal

A settlement has been agreed to resolve a class action lawsuit against Retina Group of Washington over a March 2023 data breach that involved unauthorized access to the protected health information of 455,935 individuals. Under the terms of the settlement, a $3.6

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World Password Day 2023 – Password Tips and Best Practices

The HIPAA Journal

Thursday, May 4, 2023, is World Password Day. How Long Does it Take a Hacker to Brute Force a Password in 2023. It is common for users to avoid creating unique passwords and they end up reusing the same password for multiple accounts. We recommend a minimum password length of 14 characters. Source: Hive Systems.

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HHS-OIG Identifies Potential Misuse of HRAs and Chart Reviews by MA Companies

The HIPAA Journal

When diagnoses are reported only using enrollees’ HRAs and HRA-linked chart reviews and there are no follow-up visits, procedures, or tests, HHS-OIG is concerned that the diagnoses may be inaccurate and therefore the payments made by the CMS may be improper. In fiscal year 2023, the CMS identified $12.7

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5 strategies for mental health providers to enhance reimbursements 

Health Prime

According to The State of Mental Health in America 2023 , 21% of adults are currently experiencing a mental illness, which equates to over 50 million Americans. A 2023 IGNUX report states that hospital coding mistakes make up 63% of medical billing errors.

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The Alarming Trend of Seasoned Nurses Being Laid Off: Profits Over Patient Care? 

Minority Nurse

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. link] Joint Commission (2023, August 24). link] Mcfanhn, C (2023, August 24). Some workers at U.S.

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Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals

The HIPAA Journal

Mercer County Joint Township Community Hospital in Coldwater, Ohio, has suffered a significant data breach involving the electronic protected health information of up to 88,541 individuals. The post Mercer County Joint Township Community Hospital Cyberattack Affects Up to 88,500 Individuals appeared first on The HIPAA Journal.