AI and telemedicine are changing how providers deliver care in Texas. These tools improve patient access and efficiency, but they also bring new compliance requirements. New requirements under Texas law Texas now regulates how providers use AI and store health...
Hospice providers in Texas now face closer reviews from Medicare and state agencies as regulators push to reduce fraud, waste and abuse. You can lower your risk by knowing what auditors look for and tightening documentation before a request arrives. Why audits are...
Healthcare providers need to be aware of any changes to the Health Insurance Portability and Accountability Act (HIPAA). As of 2025, recent legal developments and enforcement trends have shaped how providers must protect patient privacy. This blog provides an overview...
If you work in healthcare in Texas, you know how serious Medicaid fraud allegations can be. One investigation can put your career and your practice at risk. Possible outcomes include criminal charges, heavy civil fines and being banned from Medicaid. These cases can...
In Texas, a healthcare business has many issues to navigate whether it is a group practice, a hospice, a therapy center, medical specialists, or any other entity. These businesses will rely on assisting patients who are covered by Medicaid. Because Medicaid comes from...
If your hospice claims raise red flags, Medicare reviewers may initiate an investigation. Whether the concern stems from patient eligibility or billing volume, a probe can lead to delayed payments or worse. That is why it is crucial to adhere to Medicare rules...
A 2023 report found that hackers breached more than 133 million healthcare records. Many of those incidents were tied to remote work. In such cases, protected health information (PHI) may end up on personal devices, in shared homes or in public spaces. For hospice...
Many cases of billing fraud are egregious and hard to ignore. A coding professional upcodes a procedure to charge more money. A billing specialist might enter multiple separate billing codes for procedures that are eligible for a discounted billing arrangement. The...
Individuals who have invested in a medical degree may hope to become their own bosses. They may want to establish a standalone medical practice or a private medical company. That process frequently entails partnering with numerous other physicians and medical...
The Centers for Medicare & Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS). It oversees the nation's major healthcare programs, including Medicare, Medicaid and the Children's Health Insurance Program...
