Medisys Compliance

SEPTEMBER 9, 2022

From the beginning of appointment booking until the completion of bill production, information is gathered to ensure that medical care runs smoothly. Because medical coding standards are continually changing, utilizing an out-of-date reference book could result in your claim being rejected, which would delay your payout.

Medical Billing 98

Medical Billing Medical Billing Outsourcing Doctors Fraud 98

HIT Consultant

MAY 2, 2023

Modern NEMT solutions streamline the ride booking and scheduling process, introduce new modalities, improve the overall experience for patients, and decrease fraud, waste and abuse (FWA). In recent years, technology has played a significant role in the advancement of the NEMT industry.

Medicaid 96

Medicaid Medicaid Medicare Medicare 96

HIPAA Journal

MAY 10, 2023

The lawsuit claims UIHC manages or controls two websites that are used for booking appointments, locating treatment facilities and physicians, and registering patients for events and classes. University of Iowa Hospitals & Clinics – was filed on behalf of plaintiff Eileen Yeisley and similarly situated individuals.

Hospitals 98

Hospitals HIPAA Fraud 98

HIT Consultant

SEPTEMBER 8, 2024

Getting on a doctor’s books when switching health plans is something of a battlefield. Furthermore, SLM integration can streamline real-time insurance eligibility processes thanks to NLP’s ability to detect fraud when used in processing claims. Reimbursements are slow and bureaucratic.

Doctors 115

Doctors Fraud Nurses Governance 115

Healthcare IT Today

DECEMBER 30, 2024

The challenge is that access to quality care isn’t always easy to come by, with appointments often booked out for months. Beyond 2025, developments will include blockchain integration, advanced fraud detection, and more sophisticated predictive analytics.

US Department of Health and Human Services 88

US Department of Health and Human Services Nurses Medicare Medicare 88

Provider Trust

JANUARY 18, 2023

In October 2022, the South Carolina Medicaid Fraud Control Unit (SCMFCU) arrested a 37-year-old South Carolina woman named Alyssa Beth Steele for working as a registered nurse despite not having a license. Pursuant to federal regulations, the SCMFCU is authorized to investigate and prosecute any acts of Medicaid provider fraud.

Nurses 52

Nurses Licensing Fraud Medicaid 52

Healthcare IT Today

AUGUST 9, 2024

Many health systems, rightfully so, pay a ton of attention to the insured book of their businesses – it constitutes the majority. I know they’re the sexiest part of healthcare – these negative accounts that sit around, inflate books, and confuse things.

Fraud 73

Fraud Governance Hospitals 73

HIT Consultant

FEBRUARY 23, 2023

In the 2020 Black Book Interoperability Survey, 93% of consumers surveyed said they were disappointed in “the lack of data sharing” across vendor systems. Because of the highly immutable data this type of healthcare data fabric or digital network provides, the instances of fraud and abuse could be significantly reduced.

COVID-19 96

COVID-19 Fraud Hospitals 96

HIPAA Journal

MAY 24, 2024

Several Ascension hospitals are on divert to ensure that patients can be immediately triaged, electronic medical records are unavailable, the phone system is offline, as are systems used to book tests, procedures, and medications, and elective procedures have been postponed.

Hospitals 78

Hospitals Ransomware Electronic Medical Records HIPAA 78

Provider Trust

AUGUST 6, 2024

These three factors each contribute to your overall impact on eradicating fraud, waste, and abuse within the healthcare system. Those who leave cracks in their coverage leave the door open for fraud, waste, and abuse to enter the communities they serve. See Our Impact Compliance Program 1. Ready to learn more about Impact Compliance?

Compliance 52

Compliance Licensing Fraud 52

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 113

Fraud Telemedicine FDA Governance 113

HIPAA Journal

SEPTEMBER 7, 2023

Edward-Elmhurst Health -was filed in Cook County Circuit Court and alleges patient privacy was violated due to the use of the Meta Pixel tracking tool on its web portals, which patients use for booking appointments and finding treatment facilities and other healthcare services.

HIPAA 59

HIPAA Fraud 59

HIPAA Journal

FEBRUARY 9, 2024

Patient scheduling software is software that can be used by patients to self-book healthcare appointments, by physicians to fill their schedules, and by medical practices to synchronize patient appointments with physician and treatment room availability in order to optimize the use of time and resources.

HIPAA 40

HIPAA Compliance Payment Systems Ransomware 40

Healthcare IT Today

MARCH 26, 2023

Researchers detected behavior consistent with fraud and abuse by identifying excess expenditures in hospitalization claims from 2017 and validated their methods based on Department of Justice data. Partnerships Castle Connolly Top Doctors has integrated ZocDoc ‘s appointment booking features into select doctors’ profiles.

Doctors 79

Doctors Fraud Medicaid Medicaid 79

Verisys

JULY 20, 2023

In one of the earliest negligent credentialing cases , a Wisconsin hospital was eager to book surgical cases and failed to properly verify a surgeon’s credentials. However, an even better source is an aggregated dataset such as Verisys’ FACIS (Fraud Abuse Control Information System). Mistake No. Mistake No.

Due Diligence 52

Due Diligence Malpractice Licensing Hospitals 52

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 60

Fraud Telemedicine Governance Health Insurance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 60

Fraud Telemedicine Governance Health Insurance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 60

Fraud Telemedicine FDA Governance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 60

Fraud Telemedicine FDA Governance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 60

Fraud Telemedicine FDA Governance 60

Health Blawg

JANUARY 30, 2018

But untold billions are lost to waste, fraud and abuse. Check out his book and my recent chat with him.) But untold billions are lost to waste, fraud and abuse. It was the best of times. It was the worst of times. We are awash in data. But we can’t access data when and where we need it. We are awash in dollars.

Fraud 60

Fraud Telemedicine FDA Governance 60

HIT Consultant

AUGUST 7, 2024

” Yet, research from Enea reveals that 76% of businesses have insufficient voice and messaging fraud protection. Driven by his personal experiences with online fraud and identity theft, Aaron founded Nametag to create the next generation of account protection.

Ransomware 116

Ransomware Fraud Hospitals Doctors 116

AIHC

AUGUST 30, 2023

Written by: Nancie Lee Cummins, CFE, CHA, CIFHA, OHCC, CHCM, CHCO, CORCM Due to the high volume of fraud schemes involving telemarketing revealed by the Department of Justice (DOJ) over recent years, it is important that providers heed “buyer beware” when engaging with a telemarketing firm. “If If it is too good to be true it probably isn't.”

Compliance 52

Compliance Fraud Medicare Medicare 52

Healthcare IT News - Telehealth

FEBRUARY 10, 2021

NYU Langone Health experienced explosive growth in telehealth visits, online appointment booking, online physician finding, remote patient monitoring, and connecting via video inside the hospital when visitors could not be accommodated. " Dr. Paul Testa, NYU Langone Health. It is not an easy task managing data security."

COVID-19 217

COVID-19 Hospitals Nurses Healthcare information Technology 217

Bill of Health

FEBRUARY 10, 2023

Or an extension of the doctrine of public fraud? Michael Lewis, in his book on the pandemic, The Premonition , suggests that CDC was not the right organization to tackle this problem. Do we have people thinking about how to sue Fox News, pundits, and political candidates for their lies? Maybe some form of public nuisance litigation?

Public Health 264

Public Health Health Care Reform ACA COVID-19 264

Healthcare IT Today

FEBRUARY 28, 2023

(President Biden, in his State of the Union speech, warned “we remain vigilant” while calling for an end to the emergency, but quickly switched the subject from the urgency of public health to prosecuting fraud.) Finally, one can’t review the CDC without mentioning the bestselling book The Premonition , by Michael Lewis.

Public Health 111

Public Health COVID-19 FDA Governance 111

Health Populi

OCTOBER 8, 2019

Fraud and abuse, waste between $59 bn and $84 bn; and, Administrative complexity, wasting about $266 bn each year. That’s the Holy Grail and vision in my book, HealthConsuming: From Health Consumer to Health Citizen. Failure of care coordination, with a waste-range of $27 bn – $78 bn.

Prescription Drug Pricing 108

Prescription Drug Pricing Medicare Medicare ACA 108

Healthcare IT Today

FEBRUARY 15, 2023

Further, according to Black Book Research, the expense of repeated medical care due to patient misidentification costs an average of $1,950 per inpatient stay and more than $800 per emergency department visit, while denied claims due to patient misidentification costs the U.S. million per year in denied claims and lost revenue.

US Department of Health and Human Services 131

US Department of Health and Human Services COVID-19 Public Health Hospitals 131

Hall Render

MAY 20, 2022

Nurse chronicles experience inside COVID ICU at metro hospital in new book. Medicare fraud. to settle billing fraud claims. Family Foundation Gives $2.5M to Expand Ochsner Program. Glenwood hospital halting Obstetrical Services due to physician staffing shortage. Ochsner St. Mary gets A grade in hospital safety guide.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 9, 2024

million Mercy Iowa City Creditors Finally Getting Paid Northwest Iowa hospital, MercyOne in Primghar, to close next month Steindler Orthopedic opens clinic in Cedar Rapids Radiologist breaks ground on $250M health campus CSA opens new location as it seeks to retain workers, deliver services Iowa nursing homes owe taxpayers $10.7

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Jane Sarashon

MARCH 6, 2025

You’ll read updates from Ipsos, West Health-Gallup, the University of Michigan, and finally the wonky (but very informative) Fed Beige Book from the Federal Reserve. ” Now, on to the Federal Reserve’s Beige Book. Start with the Ipsos Consumer Tracker for February 2025, which identified a rise in U.S.

Medical Billing 105

Medical Billing Medicaid Medicaid Medicare 105

Hall Render

JUNE 7, 2024

million bird flu shots to U.S.

US Department of Health and Human Services 40

US Department of Health and Human Services Nurses Hospitals Nursing Homes 40

Hall Render

MARCH 31, 2023

County-owned buildings facing potential earthquake risk Gilead drops option to buy cancer therapeutics company Health and Life Organization Inc. buys industrial property in Rancho Cordova for $5.12 in Financing for Medical Office Building in Utica, New York Jacobi hospital saw 20% of its nurses quit in 2022.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes COVID-19 Nurses 40

Hall Render

MARCH 18, 2022

DOJ Settles First Case Under Civil Cyber-Fraud Initiative. California physician, patient recruiter charged with $36M Medicare fraud. Beebe’s soon-to-open specialty hospital preview tours fully booked. This nursing home facility is accused of Medicare fraud. Senior living facility operator settles lawsuit with state.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

FEBRUARY 25, 2022

Double-booked surgeries lead to $14.6 for Medicare fraud. General pays $14.6 million to settle whistle-blower suit over concurrent surgeries. Nurses at Massachusetts Tenet hospital hold vote to decertify union following strike. million settlement. Massachusetts General Hospital resolves overlapping surgery suit for $14.6M.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Hall Render

JULY 14, 2023

Vernon receives award to improve stroke care Health system to expand Illinois hospital after $23.5M renovation Reid Health details restructuring effort to reduce costs Cameron Hospital, Trine break ground on $10M nursing education center IOWA 26 Nursing Homes Close in the Past Year Across Iowa Groundbreaking set for new UnityPoint – St.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 23, 2024

AG says they have buyer for Sharon Regional Medical Center Pregnancy-related deaths in Pennsylvania rose by almost 80% in one year, new data shows New court documents suggest potential fraud in Pennsylvania health facilities RHODE ISLAND Lifespan in position to acquire two Steward hospitals; Mass.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40