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Implications of Health Systems Losing their Non-Profit Status

Emerging RN Leader

Sherman, EdD, RN, NEA-BC, FAAN Health systems are facing serious headwinds this year with potential cuts to Medicare, Medicaid, and the federal subsidy of health exchanges. A declining economy also threatens the jobs of a significant number of workers in the US and, with it, their health insurance.

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A Lookback on 2024

Nurses Advocates

As we have seen with the recent shooting of the CEO of United Healthcare, Brian Thompson, there is a lot of discontent from all sides about how the healthcare system and the health insurance industry works. Communicate with ChatBots Without Losing Your Mind This is another topic I will continue to explore in 2025.

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How to Conduct Effective Compliance Audits 

American Medical Compliance

The healthcare industry is highly regulated, with various laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Health Information Technology for Economic and Clinical Health Act (HITECH), and the Medicare and Medicaid Services (CMS) regulations shaping operations.

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Taking Action when Your Health Insurance Company Says DENIED

Nurses Advocates

So, how does the average consumer act when their health insurance company says DENIED? Explain in plain language how their health insurance works and how they can learn to manage their benefits/costs. Talk to them about their lifestyle and habits (good and bad) and how they can impact their health.

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Managing Healthcare Staff with Compliance in Mind

Celayix

Here are some reasons why compliance is essential: Patient Safety: Following rules like the Health Insurance Portability and Accountability Act (HIPAA) or standard precautions protects patients from infections and data breaches. Clear, real-time communication is key. Use these reports to adjust schedules and policies as needed.

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When Nurses Have Something to Say

Minority Nurse

When we compare the current communication landscape to that of 30 or 40 years ago, it’s clear that many changes have taken place. Nurses now have access to an almost limitless number of platforms for communication.

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HIPAA Refresher Training

American Medical Compliance

Understanding the Core Components of HIPAA The Health Insurance Portability and Accountability Act (HIPAA) is foundational in protecting the privacy and security of health information. The Privacy Rule The Privacy Rule is central to safeguarding your patient’s protected health information (PHI).

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