SC Practical Solutions LLC

Specialized Healthcare Consulting Services

Antitrust Lawsuit Against HCA Will Move Forward

A federal judge has denied HCA Healthcare’s motion to dismiss antitrust litigation brought by North Carolina cities and counties related to the for-profit’s 2019 acquisition of Mission Health. The ruling, signed Wednesday, February 21, 2024, relates to consolidated class-action complaints filed in 2022 by the city of Brevard, Buncombe County, the city of Asheville, and…

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CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process

Final rule modernizes the health care system and reduces patient and provider burden by streamlining the prior authorization process As part of the Biden-Harris Administration’s ongoing commitment to increasing health data exchange and strengthening access to care, the Centers for Medicare & Medicaid Services (CMS) finalized the CMS Interoperability and Prior Authorization Final Rule (CMS-0057-F)…

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Protecting PHI is the Responsibility of the Provider.

    When it comes to protecting patient Protected Health Information (PHI), healthcare providers must exercise due diligence, especially when outsourcing certain functions. The Centers for Medicare & Medicaid Services (CMS) requires that all providers, billing companies, and outsourced agencies use the Interactive Voice Response (IVR) system or your Medicare Administrative Contractor’s (MAC) eServices tool to verify…

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