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MiraMed’s eAlerts are distributed via email every Wednesday, and contains the latest industry information regarding business process outsourcing solutions, helpful coding news, or any number of relevant topics in the fast-paced, ever-evolving world of healthcare. To subscribe, simply complete the form below. Below the subscription form, you will find the archived eAlerts available.

Studies Show Pros and Cons of Prior Authorization

May 23, 2018

A recent survey of 1,000 physicians by the American Medical Association (AMA) found that 92 percent believe prior authorizations (requirements by payers to approve a medical service, treatment plan, medication or piece of durable medical equipment [DME] before it is provided) have a negative impact on clinical outcomes. And the American Academy of Family Physicians calls prior authorizations “the number-one administrative burden” for family physicians.

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HRSA Seeks Comments on Simplifying Reporting Requirements

May 16, 2018

As mandated in executive orders from the current administration, the Department of Health and Human Services (HHS) is zeroing in on ways to streamline reporting and administrative requirements for clinicians, hospitals and health systems as part of an overall effort to “reduce administrative burden” and free providers from tasks that take time away from care delivery and quality improvement.  Toward that end, a Regulatory Reform Task Force of representatives from each of the HHS agencies has begun identifying potential “deregulatory” actions with input from stakeholders.  In a recent request for information (RFI), HHS’s Health Resources and Services Administration (HRSA) solicited comments and input on proposed changes to several of its programs.

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HIPAA: A Gap Analysis Is Not a Risk Analysis for ePHI

May 9, 2018

When it comes to complying with the requirements of the Healthcare Information Portability and Accountability Act (HIPAA) regarding electronic protected health information (ePHI), don’t confuse a gap analysis with a risk analysis, the Office of Civil Rights reminds healthcare providers in a recent bulletin.

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CMS 2019 IPPS Proposed Rule Calls for More Transparency, Less ‘Administrative Burden’

May 2, 2018

In keeping with the current administration’s emphasis on increasing price transparency in healthcare (see our March 28, 2018 eAlert), the fiscal year 2019 Inpatient Prospective Payment System (IPPS) proposed rule of the Centers for Medicare and Medicaid Services (CMS), issued on April 24, 2018, proposes that hospitals begin publishing their standard charges online each year.  The proposal would take price transparency a step farther than the current requirement that hospitals make the information publicly available.

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Keep HIPAA Compliance on Your Radar

April 25, 2018

The secured email protocols and other measures designed to protect sensitive patient information that hospitals and billing companies have implemented during the past few years can seem like a hindrance, but they’re necessary in the age of instant access to information—and cybercrime.  They’re also required by law. With the threat of penalties and fines for breaches of protected health information (PHI) and electronic PHI (ePHI) under the Health Insurance Portability and Accountability Act (HIPAA), these privacy and security controls have become the new norm.

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