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As the healthcare industry faces increased scrutiny, especially in medical coding accuracy and regulatory compliance, recent surveys reveal that many professionals are concerned with issues like upcoding, audit discrepancies, and the integration of artificial intelligence in coding practices. According to a Black Book survey , 90% of HIM professionals believe that upcoding is a significant ethical concern, while 85% say that discrepancies identified during coding audits often lead to denied clai
Proposed Changes Require Strong Cybersecurity The newly proposed changes to the 2013 HIPAA Security Rule published yesterday in the U.S. Federal Register include strict cybersecurity requirements that leave little wiggle room for healthcare providers, health plans, and their business associates to avoid implementing strong cybersecurity practices, including validation that their business partners also meet their HIPAA requirements.
The complaint alleges nearly two dozen pharmaceutical companies colluded to limit competition, causing costs for certain generic medications to skyrocket.
As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! We reached out to our incredible Healthcare IT Today Community to get their insights on what will happen in the coming year and boy did they deliver. We in fact got so many responses to our prompt this year, that we have had to narrow them down to just the best and most interesting.
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!
The massive healthcare company and the home health provider have agreed to push back the timeline of their deal after the Department of Justice sued to block it.
What You Should Know: – ActiGraph , a global leader in wearable digital health technology, announced the acquisition of Biofourmis Connect , a division of Biofourmis specializing in AI-powered digital trial platforms for the life science industry. Financial terms of the acquisition were not disclosed. – The acquisition combines ActiGraph’s expertise in wearable technology with Biofourmis Connect’s advanced analytics capabilities, creating a comprehensive and unified solut
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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.
The Funding Follows Culina Healths Rapid Growth and Exemplary Outcomes in Patient Engagement, Disease Prevention, and Cost Savings Culina Health , the digital platform that makes clinical nutrition care inclusive and accessible for everyone, announced today that it has raised a $7.9 million Series A funding round on the strength of 117 percent year-over-year growth and exceptional patient engagement and clinical outcomes.
As we embark on another year of changes and advancements, we asked some of our radio and podcast show hosts to forecast what the healthcare industry might look like in 2025. Here is what they had to say. The post Hosts Open Mic on 2025 appeared first on Health IT Answers.
What You Should Know: – ONRAD Inc., a provider of teleradiology and comprehensive radiology solutions, announced the acquisition of Direct Radiology from Royal Philips. Financial terms of the acquisition were not disclosed. – Direct Radiology, founded in 2012, is a Joint Commission-accredited practice with a network of approximately 80 radiologists serving over 430 healthcare facilities across the US.
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.
The proposed rule would modify the HIPAA Security Rule to require health plans, health care clearinghouses, and most health care providers, and their business associates, to strengthen cybersecurity protections for individuals protected health information. The post OCR Proposes Measures to Strengthen Cybersecurity in Health Care Under HIPAA appeared first on Health IT Answers.
What You Should Know: – Allumia Ventures, formerly known as Providence Ventures, announced its spin-off from Providence to become an independent venture capital firm. – The spin out follows the first close of its third fund, marking a significant milestone in the firm’s evolution. The firm will continue to work closely with Providence as an Anchor Limited Partner while inviting a select group of other healthcare organizations to join its third fund.
While immensely important, credentialing can often be a pesky thorn in the side of all healthcare organizations. That thorn only becomes more troublesome when credentialing backlogs occur, causing bottlenecks that ripple throughout the organization. The effects of a credentialing backlog are felt on all fronts from disruptions in patient care and limited provider availability, to an increase in denied claims and lost revenue.
What You Should Know: – GoodRx (Nasdaq: GDRX), a prescription savings platform, today announced a new and improved GoodRx for Pets experience. – The enhanced offering provides pet owners with a more affordable and convenient way to access pet medications, combining savings with home delivery options. GoodRx for Pets: A Comprehensive Solution The rising cost of pet healthcare has become a significant concern for many Americans.
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.
Latest announcements made from companies and organizations on hiring include Hallmark, Meadows Behavioral Healthcare, symplr, Advantus Health Partners, Headlamp Health, Rula Health, Intelliguard, Futures Recovery Healthcare, Traditions Health, AHCA/NCAL, Sellers Dorsey, CareCloud, & Holista. The post Health IT Appointments & Hires appeared first on Health IT Answers.
What You Should Know: – Pepticom , an innovator in AI-driven peptide-based therapeutics secures $6.6M in a Series A1 funding round led by Japan Israel High Tech Ventures 2 L P, with strong support from existing investors. – The new funding will accelerate the development of Pepticom’s oral IL-17 inhibitor program, focusing on creating improved treatments for autoimmune diseases like psoriasis and psoriatic arthritis.
Sleep, or lack thereof, is a public health challenge around the world whatever your postal code or demographic profile. Can technology help us bridge the sleep deprivation gap, or is technology destined to ruin our mind-body-spirit health? At CES 2025, you won’t be surprised that it’s a bull market for sleep-tech across a growing portfolio of device and product types.
What You Should Know: – Visory Health , a prescription discount platform focused on improving healthcare affordability, announced today a new partnership with Walgreens. – The collaboration expands Visory Health’s network of featured pharmacies, providing consumers with even greater savings on their prescription medications. Simplifying Prescription Savings Visory Health’s platform stands out for its commitment to simplicity and transparency.
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.
At CES in Las Vegas, Circular announced its next-generation health tracking ring with ECG capabilities, and VIV Health unveiled its ring with generative sleep aid sound technology.
One year after announcing a new maternal health model for women in Medicaid, the Centers for Medicare & Medicaid Services announced the participating states.
Tampa (Fla.) General Hospital has agreed to pay $6.8 million to settle a class-action lawsuit stemming from a data breach that compromised the personal information of about 2.1 million individuals, Top Class Action reported Jan. 3.
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.
Sanford Health finalized its merger with Marshfield Clinic Health System, the health systems announced last week, and the deal expands Sanford's reach to communities in Wisconsin and Michigans Upper Peninsula.
Indiana University Health, based in Indianapolis, reported a security incident involving a team member's email account that may have exposed limited patient information, including a small number of Social Security numbers.
Neeraj K. Sharma,President & CEO at Santech David Van Houtte,Chief Growth Officer at Santech For decades, health insurance payors have relied on outdated legacy workflows, antiquated provider data management systems, manual data entry and internal departmental structures. All of this disjointed approach results in errors in provider data for payors.
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.
Adam Berinsky, Mitsui Professor of Political Science, Director of the MIT Political Experiments Research Lab (PERL) When professionals from fields likehealthcaretalk to me about polling at MIT, they often assume that designing patient surveys will be easy. They have questions, patients have answers, and getting from Point A to Point B seems like it should be a simple matter of handing off a clipboard and a pen.
Twentyeight Health, a digital-first womens healthcare provider, picked up $10 million in series A funding and inked new payer partnerships with Medicaid insurers Aetna, AmeriHealth Caritas and Molina Healthcare.
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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