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Reportable events include overpayments, ongoing investigations or legal proceedings, potential violation of criminal, civil, or administrative laws applicable to any Federal health care program for which penalties or exclusion may be authorized, and employing or contracting with an ineligible person.
Other health care concerns covered by HEDIS are immunizations, cancer screenings, treatment after heart attacks, diabetes, asthma, flu shots, access to services, dental care, alcohol and drug dependence treatment, timeliness of handling phone calls, prenatal and postpartum care, mental health care, well-care or preventive visits, inpatient ...
However, the average cost of a healthcare data breach (average breach size 25,575 records) in the U.S. is $15 million. [16] In 2017, healthcare compliance analytics platform Protenus stated that 477 healthcare breaches were reported to the U.S. Division of Health and Human Services (HHS).
Health Insurance Portability and Accountability Act of 1996; Other short titles: Kassebaum–Kennedy Act, Kennedy–Kassebaum Act: Long title: An Act To amend the Internal Revenue Code of 1986 to improve portability and continuity of health insurance coverage in the group and individual markets, to combat waste, fraud, and abuse in health insurance and health care delivery, to promote the use ...
Medical underwriting is a health insurance term referring to the use of medical or health information in the evaluation of an applicant for coverage, typically for life or health insurance.
The maintenance of complete and accurate medical records is a requirement of health care providers and is generally enforced as a licensing or certification prerequisite. The terms are used for the written (paper notes), physical (image films) and digital records that exist for each individual patient and for the body of information found therein.
Compliance documentation: This type of documentation codifies standard operating procedures, for any regulatory compliance needs, as for safety approval, taxation, financing, and technical approval. Healthcare documentation: This field of documentation encompasses the timely recording and validation of events that have occurred during the ...
The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization [1] that accredits more than 22,000 US health care organizations and programs. [2] The international branch accredits medical services from around the world.