Healthcare IT Today

MAY 10, 2024

In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and compliance risk. That’s easier said than done. The Changing Landscape for Revenue Integrity How has revenue integrity changed over the years?

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Healthcare IT Today

MAY 30, 2024

Layering AI on top of CCTA can enable health systems to use cath labs for intervention – rather than diagnostics – which could dramatically reduce a backlog of procedures, optimize resources, and streamline efficiency in cardiac care. healthcare industry.

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YouCompli

NOVEMBER 18, 2023

Most of us have had the experience of preparing for an important conversation or interaction, only to leave it feeling defeated, misunderstood, and not even really heard. In this article, we will examine four essential listening skills that help compliance officers be more effective within their organizations.

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HIT Consultant

MAY 13, 2024

In short, revenue integrity simply means ensuring providers are paid appropriately for all services provided and in an efficient and compliant manner to prevent revenue leakage and compliance risk. Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, CHFP, Sr. That’s easier said than done.

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YouCompli

SEPTEMBER 6, 2023

But very quickly, as a compliance officer, I realized that I was managing multiple projects every day. I was responsible for allocating financial, human, and physical resources to accomplish certain tasks.   Conducting annual compliance training is a project.   Was “project manager” in your current or previous job descriptions?

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YouCompli

FEBRUARY 22, 2023

Raising prices on your hospital’s chargemaster can also raise your level of compliance grief. Compliance officers can help protect revenue and reduce the risk of penalties by collaborating with the Finance and Reimbursement departments to navigate the dynamics of outlier payments and prospective repayment.

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Med-Net Compliance

JUNE 22, 2022

Investigation of the case was conducted by the US Department of Veterans Affairs-Office of Inspector General (VA-OIG), VA Police Detroit and the Medicare Fraud Strike Force (MFSF) partners, a partnership among the Criminal Division, US Attorney’s Offices, and US Health and Human Services-Office of Inspector General (HHS-OIG).

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Med-Net Compliance

OCTOBER 27, 2022

A federal jury convicted a licensed Illinois psychologist of defrauding Medicare over the course of several years by causing the submission of fraudulent claims for psychotherapy services he never provided. A federal district court judge will determine any sentence after considering the US Sentencing Guidelines and other statutory factors.

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Healthcare IT Today

JANUARY 3, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. With support for multi-cloud deployments, telemedicine and personalized health, patient and clinician devices, and IoT devices deployed in the home, perimeter security will no longer be enough. to build out their cybersecurity program.

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Med-Net Compliance

JULY 13, 2022

Both defendants also admitted that Defendant 1 stole at least 20 CDC Vaccination Record Cards in March of 2021, that he sent his brother, Defendant 2, some of the stolen vaccination record cards, and that they agreed to use them and sell them to others for $50. Update your policies as needed.

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Healthcare IT Today

JANUARY 10, 2024

As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions. Jason Considine, Chief Commercial Officer at Experian Health Staffing shortages will continue to be a major pain point for providers in 2024 and have a direct impact on their bottom line.

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Healthcare IT Today

SEPTEMBER 17, 2024

An ongoing lawsuit between two health IT companies raises questions that call for more discussion. has led independent observers to predict a shake-up in health care and the potential for future lawsuits. Department of Health & Human Services should be applied. PointClickCare Technologies, Inc. )

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Med-Net Compliance

NOVEMBER 8, 2022

On November 3, 2022, the OIG released the results of a recent inspection of a nursing home by the Texas Health and Human Services (HHS) Office of Inspector General Audit and Inspections Division (OIG Inspections).

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Med-Net Compliance

NOVEMBER 3, 2022

The Office for Civil Rights (OCR) at the US Department of Health and Human Services (HHS) produced a new video on recognized security practices for organizations covered under the Health Insurance Portability and Accountability Act (HIPAA) Rules.

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Med-Net Compliance

OCTOBER 26, 2022

The US Department of Health and Human Services (HHS) Office of Inspector General (OIG) has announced that they will be enhancing their focus on potentially preventable hospitalizations of Medicare-eligible skilled nursing facility (SNF) residents. and 42 CFR § 483.25).

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YouCompli

NOVEMBER 16, 2022

Strengthen your listening skills to improve your effectiveness as a healthcare compliance officer. Sharon Parsley, JD, MBA, CHC, CHRC’s writes a monthly series on compliance officer effectiveness for the YouCompli blog. According to betterup.com, discriminative listening is a skill all humans are born with.

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Med-Net Compliance

SEPTEMBER 20, 2022

million scheme to defraud Medicare by billing for services under another doctor’s name after Medicare revoked his privileges to participate in the program. According to court documents and evidence presented at trial, the podiatrist was revoked from participating in the Medicare program in January 2015.

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Provider Trust

MARCH 13, 2023

Three schools across Broward County and Palm Beach County, Florida, were involved in this multimillion-dollar fake diploma scheme: Siena College of Health, Palm Beach School of Nursing, and Sacred Heart International Institute. In addition, an estimated 37 percent of student nurses with fake diplomas passed the NCLEX.

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AIHC

AUGUST 8, 2023

Although the Cobra Effect and Perverse Incentives terms are loosely used together; they actually are different. Also, because physicians are paid for doing things, they are being incentivized to provide services patients might not need. You present later that morning and at least some of the wording irritates the audience.

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Provider Trust

JANUARY 26, 2022

Luckily for all us, there’s a spectrum–and it was created with visibility and safety in mind. Department of Justice (DOJ), the U.S. And when patient care and reimbursements are on the line, even one bad actor can put an entire organization’s reputation in jeopardy. How the OIG Finds & Prosecutes Healthcare Fraud.

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Verisys

JANUARY 27, 2022

COVID has impacted every aspect of daily life, and these changes have affected people’s mental health, making telehealth services for behavioral health more important than ever. Others may become susceptible to mental health issues, such as depression or anxiety. The use of telemedicine in the U.S.

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Verisys

JANUARY 6, 2022

Federal payments for healthcare services account for 28% of all healthcare spending in the United States. The List of Excluded Individuals/Entities (LEIE) is maintained by the Department of Health and Human Services (HHS) Office of the Inspector General ( OIG) and dictates which providers are excluded from receiving federal funds.

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Total Medical ComplianceHIPAA

AUGUST 4, 2023

For patients seeking a healthcare provider, they use search engines, your website, and online review sites to understand more about you and your practice. Responses cannot include any of the patient’s protected health information (PHI), even if the patient has revealed their own personal information. Click to view the full list.

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Healthcare Law Blog

MARCH 25, 2022

Various smaller health insurance issuers have challenged the risk-adjustment program under the Patient Protection and Affordable Care Act (ACA), alleging, among other things, that its underlying methodology favors larger insurers. See Vista Health Plan, Inc. United States Dep’t of Health & Hum. The Risk-Adjustment Program.

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HIT Consultant

JUNE 30, 2023

Hospitals, doctors and other care providers need to have as much data and information readily available to use to treat patients and save lives; while at the same time keeping this sensitive information secure. At the same time, human lives are increasingly at risk. This is especially true when it comes to ransomware attacks.

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Medisys Compliance

DECEMBER 1, 2022

The use of past technologies has peaked, and novel advanced technologies are about to have a significant impact on how we live. Although computer-assisted coding is becoming more common in medical settings, there is a huge scope for human error. Doesn’t that sound like a lot on the plates of the medical settings?

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AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

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AIHC

FEBRUARY 16, 2024

Lessons Learned about Consequences & Incentives Submitted by the AIHC Education Department Introduction The Office of Inspector General has released the new General Compliance Program Guidance or “GCPG” in late 2023. One of the seven items, #5 is “Enforcing Standards: Consequences and Incentives.”

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Healthcare It News

NOVEMBER 16, 2022

This past June, a John Doe plaintiff who was a patient at Baltimore-based Medstar Health System filed a class action complaint against Meta Platforms in the U.S. Meanwhile, in August, Novant Health disclosed a data breach related to the Java tracking script that may have affected 1.3 And several major U.S. million individuals.

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HIT Consultant

DECEMBER 28, 2023

Director of TPRM Strategy Morgan Hague, Manager of IT Risk Management at Meditology Services Leaps in healthcare technology continue to benefit humankind: from the advent of the X-ray in the 19 th century to dialysis, CT, MRI, and other machines in the 20 th century, to a new breadth of digital tools in this era.

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AIHC

AUGUST 2, 2022

The first human case of monkeypox was recorded in 1970. The first human case of monkeypox was recorded in 1970. Suspect Case A suspected case is when a patient presents with a new characteristic rash or meets one of the epidemiologic criteria and has a high clinical suspicion for monkeypox. Overview of the U.S.

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Hall Render

JUNE 21, 2024

NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. NATIONAL 50% of U.S. to buy property. The deal fell through, but that won’t solve Bartlett’s budget issues. Kenai Peninsula Borough Assembly considers $38.5M Kenai Peninsula Borough Assembly considers $38.5M

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Hall Render

AUGUST 19, 2022

Amazon to offer behavioral health services through Ginger partnership. CDC, amid criticism for COVID-19 response, plans reorganization as public health threats grow. House approves sweeping climate, tax, health care package. Joint Commission’s New Accreditation Standards Tackle Health Disparities. CALIFORNIA.

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SQA

FEBRUARY 15, 2023

Relevant matters are hereby announced as follows: As of 01 December 2022, the Electronic Certificates of Documentation for Export of APIs to the EU and Certificate of a Pharmaceutical Product will be put into use. Efforts should be made to promote and guide the use of electronic certificates.

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Bill of Health

APRIL 3, 2023

Last week, a federal judge in Texas dealt a blow to the Affordable Care Act’s preventative care requirements that private insurers cover services such as behavioral counseling, HPV vaccination, and pre-exposure prophylaxis for HIV/AIDS (PrEP). In Braidwood Management Inc. Led by Braidwood Management Inc., Doron Dorfman Braidwood v.

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HIT Consultant

AUGUST 21, 2023

As we stride into this brave new world of AI-enabled healthcare , the challenge before us is not just about harnessing the power of these solutions. It’s also about developing safeguards that allow us to tap into their value while mitigating risks associated with their use.

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SQA

OCTOBER 18, 2022

Health Canada. Health Canada is warning consumers about counterfeit BTNX Rapid Response COVID-19 antigen rapid test kits (25-pack boxes) found in Ontario. The counterfeit devices were sold online by a distributor named Healthful Plus without the required license to import, distribute, or sell medical devices in Canada.

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