The Health Insurance Portability and Accountability Act (HIPAA) was enacted to modernize the healthcare system and to make it easier for people to secure their confidential medical information. With the rapid expansion of electronic communication through the internet, HIPAA was expanded to cover all verbal, written, and electronic communications. HIPAA also covers electronically stored information, […]
Pharmacy benefit managers (PBMs) are the companies that work between insurance companies and pharmacies in the healthcare industry. PBMs play a large role in the world of healthcare, producing seventy percent of all medical prescriptions, which amounts to over six billion prescriptions every year. PBM companies make over 120 billion dollars a year processing prescriptions, […]
Throughout its existence, the Patient Protection and Affordable Care Act (PPACA) has been a political hot potato for a few years now. You may know it better as “Obamacare” or the Affordable Care Act (ACA). This Act was passed back in 2010 with the goal of changing the offering, administration, and acceptance of healthcare in […]
Employers need to understand the basic requirements of the Family and Medical Leave Act (FMLA). The FMLA offers qualified employees the right to take unpaid leave in certain situations. Employers need to know what is involved, what the employees’ rights are, and what rights the employer has. What is a qualified employee entitled to under […]
FDA inspections are not what a pharmacist expects to happen on any given day. However, these inspections can happen at just about any time. Consider if you would be prepared if an FDA inspector walked into your pharmacy tomorrow. It is important for pharmacies to understand what occurs during and after an FDA inspection. It […]
Managed care contracts must be negotiated between healthcare providers, such as doctors and hospitals, and a managed care organization (MCO) such as an HMO or a PPO. These organizations are always looking for discounted rates, which presents a challenge to providers who are facing rising costs and more legal requirements. A common mistake made by […]
Do you have durable medical equipment, prosthetics, orthotics or related supplies (DMEPOS) in your healthcare office provided by a home medical equipment (HME) supplier? If so, you should have a lending arrangement with that supplier, which is often called a loan or consignment closet. The medical equipment and supplies in loan and consignment closets are […]
