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Orthopedic surgery billing is a highly specialized aspect of medical billing, requiring precise coding, documentation, and adherence to insurance guidelines. Accurate billing not only ensures reimbursement but also reduces the risk of claim denials. This article provides a detailed overview tailored to orthopedic providers, covering essential elements such as CPT codes, modifiers, global periods, payer-specific requirements, and common errors. 1.
Oklahoma Heart Hospital was founded in 2002 with the idea of being something truly different – an all-digital hospital with a heavy focus on the patient experience and the latest automation that would change the way healthcare is delivered. It has succeeded. Patients are happy. Patients' families are happy. Doctors and nurses are happy. And accolades and awards keep coming in.
by Cecile de Villiers South Africa is considered the most unequal country in the world, with stagnant economic growth and staggeringly high unemployment. More than five million or 31.2% of workers in South Africa find economic opportunities in the “ informal economy ,” often because there are fewer barriers (training, skills, regulation) to entering the sector.
The Centers for Medicare & Medicaid Services (CMS) 2025 Physician Fee Schedule (PFS) Final Rule brings notable updates to the Quality Payment Program (QPP), which will impact eligible clinicians, groups, virtual groups, subgroups, and APM entities. Whether you’re participating through MIPS, MVPs, or an ACO , these changes offer opportunities to streamline reporting, leverage new scoring adjustments, and enhance patient care.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
AI could ease labor shortages, but health systems will need to increase cybersecurity spending to manage increased risks, according to the credit ratings agency.
What You Should Know: – Converge Bio , a generative AI platform for accelerated drug discovery and development, today announced it has raised $5.5 million in seed funding, led by TLV Partners. – Converge Bio’s platform uses large language models (LLMs) trained on biological and chemical data (DNA, RNA, protein sequences, and small molecules) to help biotech and pharmaceutical companies discover and develop better-performing drugs in less time.
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
What You Should Know: – Zarminali Health , a new pediatric healthcare provider, has secured $40M in seed funding to revolutionize the delivery of primary and specialty care for children led by General Catalyst. – Zarminali Health is poised to transform the pediatric healthcare landscape by providing a modern, integrated, and patient-centric approach to care.
The following is a guest article by Tim Small, Managing Director, and Laura Baker, Senior Manager at Deloitte Every day, technology is advancing at the speed of light. The adoption rates for the latest and greatest health tech innovations, on the other hand, are moving at a much slower pace. So slow, it may be decades before the benefits of one of today’s new technologies make a measurable impact in healthcare.
What You Should Know: – A new KLAS Research report examines the key drivers of client satisfaction in the physician advisory services market, highlighting the importance of accuracy, timeliness, strong relationships, and specialized service lines. – KLAS names Xsolis as a leader in overall client satisfaction among physician advisory services firms in helping healthcare providers navigate the complexities of regulatory and payer requirements.
By taking data from a variety of sources—health care records, faxes, voice—and providing structure to unstructured data, Vyne Medical can streamline payments, initiate workflows faster, and lift burdens from clinicians so they can “hold the patient’s hand.” In this video, President Caleb Manscill explains the goals behind Vyne Medical and some of the services they provide, with several anecdotes to show the benefits of automating the intake, storage, and curation of documents.
Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.
What You Should Know: – Tassat Group, Inc., the leading provider of private permissioned blockchain-based real-time settlement solutions, today announced its strategic partnership with Veuu, an innovative AI-powered healthcare fintech company, to improve the inefficiencies and opaqueness plaguing the healthcare claims and payment process. – Leveraging Tassat’s smart contract capabilities, this collaboration empowers Veuu with a solution to provide greater confidence in the traceabi
While at the CHIME Fall Forum conference in San Diego, I had a chance to get a number of quick video responses to some of the most important things impacing healthcare CIOs today. Those we interviewed offered some great perspectives on what’s happening with AI, cybersecurity, and of course leadership. Check out these short video interviews to learn more about some of the biggest challenges healthceare CIOs face and what can be done about them.
What You Should Know: – Veradigm , a provider of healthcare data and technology solutions, has announced the launch of Veradigm Ambient Scribe, an AI-powered platform designed to reduce the administrative burden on healthcare providers. – Powered by AvodahMed , the innovative solution uses ambient listening technology to automatically capture and transcribe patient-provider interactions, freeing up clinicians to focus more on patient care.
Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.
Kabir Gulati, VP of Data Applications at Proprio AI holds immense promise in healthcare, from improving patient care and operational efficiency to early disease detection and personalized treatment plans. AI’s potential in a patient-centered environment hinges on understanding its capabilities, limitations, and the critical role of human oversight.
By Chuck Suitor - Picture a hospital where the power is out, patient records are inaccessible, and life-saving equipment has stopped functioning. This scenario could become a reality if we don’t take immediate action. Cyberattacks have evolved beyond mere data theft; they now pose a direct threat to patient safety and the integrity of our healthcare system.
ThoroughCare, a digital care coordination company, closed a $5 million Series A funding round led by Empactful Capital. WHAT IT DOES ThoroughCare’s platform aims to address inefficiencies and fragmentation in patient care, which the company says can result in inconsistent patient engagement, poor outcomes and revenue loss. The company’s purpose-built solution provides support to a broad range of healthcare organizations, including independent practices, accountable care organizations, health sys
In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.
Not-for-profit hospital and health systems are slowly recovering from their worst year financially in 2022. | If federal lawmakers don't act to extend the Acute Hospital Care at Home program, which expires at the end of this year, it could dampen not-for-profit hospitals' nascent financial recovery, according to a new report from Fitch Ratings.
Legislation that gives a president wide-reaching power to financially harm any nonprofit an administration deems as terrorist supporting passed out of the House of Representatives Nov. 21. | H.R. 9495 passed in the House on Thursday. If signed into law, a president would be able to take a nonprofit's tax-exempt status away without due process, critics say.
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.
Nearly 300 primary care doctors at Mass General Brigham (MGB) have petitioned to unionize. | The group, if approved, would join the Doctors Council, an affiliate of the Service Employees International Union representing attending physicians nationwide.
The platform interprets patient responses into structured data and more efficiently finds responses that address patient needs like food insecurity or transportation barriers.
The December 23, 2024 deadline is fast approaching for HIPAA-covered entities to revise their policies and procedures regarding reproductive health. The Office for Civil Rights (OCR) issued a Final Rule that restricts the disclosure of protected health information (PHI) related to lawful reproductive health care, requiring policy amendments. Covered entities must also update their Notices of Privacy Practices, with changes taking effect on February 16, 2026.
Patient navigation programs backed by technology hold significant potential to improve cancer care, and a new White House report outlines policy priorities to support this effort. | Patient navigation programs backed by technology hold significant potential to improve cancer care, and a new White House report outlines policy priorities to support this effort.
Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.
The investment brings Oura's valuation to more than $5 billion. The partnership enables a two-way data flow between the Oura Ring and Dexcom's continuous glucose monitor.
Artificial intelligence can streamline operational efficiencies, elevate precision medicine and boost overall clinical care. But it has a dark side for hospitals as well.
Oncology billing is important to submit claims and get reimbursed for cancer care services. Oncology is a complex medical field dealing with intricate diagnostic tests and treatment methods. A huge variety of oncology billing codes is used in this field. Diagnostic codes, laboratory codes, chemotherapy codes, radiation oncology billing codes, and medication codes are at the top of the list.
Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.
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