Healthcare payers deal with a steady stream of claims every day, some accurate, many questionable. Fraudulent billing, inflated procedures, and…
Healthcare Compliances and regulations

Navigating HEDIS and NCQA Compliance with Smarter Tech Stacks
Understanding HEDIS and NCQA If you’re working with a health plan or on the payer tech side, you’ve probably heard…

Revolutionizing Healthcare Communication: The AIDET Approach
Patients remember how they are treated just as much as the treatment itself. A rushed conversation, unclear instructions, or a…

Health Insurance Portability and Accountability Act of 1996: Everything You Need to Know
HIPAA rule applies to certain organizations and individuals for better handling of PHI.

3 stages of Healthcare Meaningful Use – Its Framework, Contour and Updates
The Meaningful Use program established a structured approach to EHR adoption, evolving through three stages…

Navigating the Sarbanes-Oxley Act: A Comprehensive Guide for Healthcare [2025]
What Is the Sarbanes-Oxley Act (SOX)? The Sarbanes-Oxley Act (SOX) is a U.S. federal law enacted in 2002 to restore…

Data Governance Regulations in Healthcare (2025)
Today, every tiny action we take online generates data, whether we are searching for a simple medicine or accessing a…

The Guide to Healthcare Data Quality Management in 2025
Data is the currency of modern healthcare—its value lies in transforming raw information into actionable insights that drive patient care,…

Why is IoT Implementation in Healthcare a Game-Changer?
The Internet of Things (IoT) has evolved from a futuristic concept to a core component of modern technology with the…

HTI 1 Final Rule: Decoded for Healthcare Innovators
In April 2023, a significant stride was made towards redefining the future of healthcare data management and interoperability with the…

Navigating the Value-Based Healthcare Model in the US
In 2010, the healthcare landscape in the United States underwent a profound transformation with the enactment of the Affordable Care…

Navigating the FY 2024 ICD-10-CM Code Set Changes: A Comprehensive Overview
The ICD-10-CM code set update for fiscal year (FY) 2024 is bringing forth significant changes, including the addition of 395…