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Wound care providers: Review CMS's new skin substitute payment methodology and ensure billing reflects medical necessity requirements. https://t.co/GHwf2vMPrA
CMS cuts skin substitute reimbursement by 90% effective Jan 2026, reducing Medicare spending $19.6B while targeting fraud and abuse. https://t.co/1Cxq2coRCX
Ransomware attacks are increasing. Is your organization conducting accurate HIPAA Security Rule risk analyses and breach response planning? https://t.co/GHwf2vMPrA
Covenant Health reports ransomware breach affecting 478,000 patients with Qilin group publishing stolen data including SSNs and treatment records. https://t.co/1Cxq2coRCX
Digital health developers: Review FDA's updated CDS and general wellness guidance for your AI-enabled medical software compliance. https://t.co/GHwf2vMPrA
FDA revises CDS software guidance expanding exemptions and enforcement discretion for AI-enabled health applications effective January 2026. https://t.co/1Cxq2coRCX
Is your billing for wound care services medically necessary and properly documented? DOJ is aggressively pursuing fraud schemes. https://t.co/GHwf2vMPrA
DOJ reports record $6.8B in FCA recoveries for FY 2025, with healthcare accounting for $5.7B and whistleblowers filing record 1,297 new qui tam lawsuits. https://t.co/1Cxq2coRCX
Healthcare providers must respond to patient record requests within 30 days (plus one 30-day extension if needed) to avoid HIPAA Right of Access violations. https://t.co/GHwf2vMPrA
OCR settles 54th Right of Access enforcement action with Concentra for $112,500 after individual made six requests over one year without receiving records. https://t.co/1Cxq2coRCX
Wound care providers must ensure EHR and billing software accurately reflect actual services provided and do not automatically upcode to higher reimbursement levels. https://t.co/GHwf2vMPrA
DOJ announces $45M settlement with Vohra Wound Physicians for alleged medically unnecessary procedures and EHR manipulation to upcode wound care billing. https://t.co/1Cxq2coRCX
Nursing homes must maintain accurate facility assessments and staff to meet actual resident needs based on acuity, even without numerical minimums. https://t.co/GHwf2vMPrA
Medicare Advantage plans must ensure diagnosis codes are clinically supported at time of service and avoid linking physician compensation to risk adjustment scores. https://t.co/GHwf2vMPrA
DOJ announces record $556M Medicare Advantage settlement with Kaiser Permanente for alleged upcoding scheme through retrospective chart addenda from 2009-2018. https://t.co/1Cxq2coRCX