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Articles by Kathrin “Kat” Zaki
CMS Announces “WISeR” Model: New Prior Authorization Pilot Targeting “High-Risk” Medicare Part B Services | JD Supra
Key Takeaways CMS is launching a six-year pilot of the WISeR Model, starting January 2026 in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington, which will use AI and human review to expand prior authorization requirements for certain “high-risk” Medicare Part B offerings such as skin substitutes and related wound care services.
CMS Announces “WISeR” Model: New Prior Authorization Pilot Targeting “High-Risk” Medicare Part B Services
Key Takeaways CMS is launching a six-year pilot of the WISeR Model, starting January 2026 in Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington, which will use AI and human review to expand prior authorization requirements for certain “high-risk” Medicare Part B offerings such as skin substitutes and related wound care services.
AI Reporter - February 2025
February 2025 AI REPORTERA Publication of Benesch's AI Commission In This Issue AI Update..........................................2 AI in Business Agentic AI may be better for financial sector than GenAI.................................3 Peer-to-peer lending platforms use AI to make smarter loan decisions...............................................
Navigating Legal Liability in AI Adoption: What Healthcare Executives Need to Know | JD Supra
I. AI Uses in Healthcare, Legal Risks and Liability Issues AI adoption in many industries is still in its infancy, however, implementation in healthcare has been swift. In general terms, usage of AI in healthcare can be divided into two broad categories: clinical implementations and non-clinical implementations.
Earnout Held to Violate NY Fee Splitting Prohibition | JD Supra
A pivotal decision by a New York Appellate Division court holding that earnouts based on the future revenue of a dental practice violated the NY Fee Splitting Prohibition could substantially impact the structuring of health care professional practice transactions in New York. The Appellate Division’s ruling in Advanced Dental of Ardsley, PLLC v.
Earnout Held to Violate NY Fee Splitting Prohibition
A pivotal decision by a New York Appellate Division court holding that earnouts based on the future revenue of a dental practice violated the NY Fee Splitting Prohibition could substantially impact the structuring of health care professional practice transactions in New York. The Appellate Division’s ruling in Advanced Dental of Ardsley, PLLC v.
Pulse on AI + Healthcare: An Introduction to Healthcare AI Innovation in an Evolving Regulatory Landscape
The expansion of artificial intelligence (“AI”) applications in healthcare (“Healthcare AI”) has made recent headlines, from the transformation of clinical diagnostics with increased accuracy, to use of personalized medicine with the potential for life-changing preventative care, and hope to remedy, in some degree, the pervasive healthcare workforce shortage.[i] AI is certain to continue its healthcare delivery revolution; by 2028, the growth of the Healthcare AI market share is expected to...
Annual Report to Congress on Breaches of Unsecured Protected Health Information | JD Supra
Background The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) recently published an executive summary (Report) outlining key enforcement activities of the Health Insurance Portability and Accountability Act (HIPAA) in 2022 related to breaches of unsecured protected health information (PHI). OCR received a total of 626 notifications of breaches affecting 500 or more individuals, marking a 3% increase from 2021.
Annual Report to Congress on HIPAA Privacy, Security, and Breach Notification Rule Compliance | JD Supra
Background The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) recently published an executive summary (Report) outlining key enforcement activities of the Health Insurance Portability and Accountability Act (HIPAA) in 2022. In accordance with the Health Information Technology for Economic and Clinical Health (HITECH) Act, OCR is tasked with annually reporting to Congress on HIPAA Privacy, Security, and Breach Notification Rule Compliance.
Annual Report to Congress on Breaches of Unsecured Protected Health Information
Background The U.S. Department of Health and Human Services (HHS), Office for Civil Rights (OCR) recently published an executive summary (Report) outlining key enforcement activities of the Health Insurance Portability and Accountability Act (HIPAA) in 2022 related to breaches of unsecured protected health information (PHI). OCR received a total of 626 notifications of breaches affecting 500 or more individuals, marking a 3% increase from 2021.
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