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Advancements in A.I. are Combating Healthcare Fraud

The National Health Care Anti-Fraud Association estimated that healthcare fraud costs the nation $68 billion annually. (BCBS, n.d.) An article on the Physicians Practice website published February 18, 2021, stated, “In January 2020, the U.S. Justice Department reported that over $2.6 billion had been recovered from lawsuits relating to medical fraud.

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Information Blocking and the Patient’s Records

As we have been outlining for chiropractic physicians over the last few months, the 21st Century CURES Act is federal law that is designed to promote “innovation in the health care technology ecosystem to deliver better information, more conveniently, to patients and clinicians. It also promotes transparency, using modern computers, smartphones, and software to provide opportunities for the American public to regain visibility in the services, quality, and costs of health care.”

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Increased Patient Access to Health Records – the Cures Act

The 21st Century Cures Act (Cures Act), signed into law in 2016, was designed to help bring health care innovations to patients to provide more patient control in a value-based health system.[i] Recognizing that patient access and ease of transfer of health records are key, the law includes two provisions that directly affect health care offices

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Is It Time for Your Practice to Outsource Compliance?

Current wisdom in the world of business suggests that companies can benefit greatly from developing a strengths-based company culture. What’s that? It means having your employees do the work that suits their strengths and hiring people with the strengths needed for their roles. This thought raises a serious question for your practice. In the name of capitalizing on your team’s strengths, should you be outsourcing compliance?

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