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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
Most people wouldn’t answer their doors without knowing who was on the other side; however, every day, healthcare organizations expect patients to answer their calls without proof that it’s actually the organization calling. And with outbound call fraud such as caller ID spoofing and phishing attacks on the rise, providers can suffer serious reputational damage if patients fall victim to scam callers claiming to be from their organization.
The past year saw varying levels of digital transformations going around the health systems in Asia-Pacific. It has increasingly become evident that digitalisation – from nationwide networks down to individual hospitals – has become the rule in a post-pandemic world. AI and virtual care models continued to be the craze in healthcare, owing to their clear support for improving clinician productivity and patient outcomes.
The rule will remove an estimated $49 billion in medical bills from about 15 million Americans' credit reports and bars lenders from using medical information in their lending decisions.
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.
This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Andrew Mignatti, co-founder and CEO, Careviso. Healthcare access in the United States remains fraught with barriers, none as pervasive as the issues surrounding prior authorizations (PAs). Originally designed as a mechanism to ensure that […] The article The Hidden Toll of Prior Authorization Challenges on Healthcare Access appeared first on electronichealthreporter.com.
The Company Comes Out of Stealth with $5M and in Collaboration with 25+ Partners to Support Transparent and Accessible Data Analytics Tuva Health , the world’s first open-source healthcare data transformation platform, launched out of stealth today with $5M in seed funding. The company offers payers, providers, and pharmaceutical companies the ability to transform claims and EHR datasets into analytics-ready data tables via an open-source data model with built-in normalization, data qualit
Frank Fawzi, IntelePeer CEO In todays digital-first world, AI-powered automation is redefining how we approach both customer and healthcare patient experiences. While AI has already made its mark across industries, its application in healthcare introduces a unique opportunity to enhance patient experience (PX) at a time when the industry is grappling with unprecedented challenges, including staffing shortages and increased demand.
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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.
Frank Fawzi, IntelePeer CEO In todays digital-first world, AI-powered automation is redefining how we approach both customer and healthcare patient experiences. While AI has already made its mark across industries, its application in healthcare introduces a unique opportunity to enhance patient experience (PX) at a time when the industry is grappling with unprecedented challenges, including staffing shortages and increased demand.
The year-long inquiry into hospitals managed by Apollo Global Management and Leonard Green & Partners comes amid growing calls for increased oversight of private equity in healthcare.
Nursing homes should serve as sanctuaries of care, compassion, and safety for the elderly and vulnerable. Yet, abuse within these settings remains a pervasive and often hidden crisis, impacting countless individuals worldwide. Alarmingly, approximately 1 in 6 individuals aged 60 or older have experienced some form of abuse in community settings, including nursing homes, according to the World Health Organization (WHO).
Healthcare is the last bastion for many technologies of yesteryear. Fax machines, pagers, compact discs (CDs), clipboards, printed educational materials, and only offering a phone number to book an appointment remain prevalent in healthcare despite having been all but phased out in other industries. Many of the speakers at conferences last year pleaded with audiences to put more effort into adopting modern approaches to better solve healthcares challenges like patient experience, interoperabili
Since 2016, the 200-member IT team of Narayana Health in India has built smart and mobile solutions for patients and staff, says IT VP Jagadeesh Ramasamy.
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.
The complaint alleges nearly two dozen pharmaceutical companies colluded to limit competition, causing costs for certain generic medications to skyrocket.
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
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.
This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Ryan Chapin, executive director of strategic solutions, and Vijaya Krishna Veeravalli, senior vice president of cloud engineering, AGS Health. As we head into 2025, several key trends are expected to significantly shape the future […] The article RCM In Transition: Key Trends to Watch in 2025 appeared first on electronichealthreporter.com.
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 30% of the funding poured into healthcare startups last year went to companies leveraging artificial intelligence, according to Silicon Valley Bank.
What You Should Know: – ScreenPoint Medical , a provider of AI-powered breast cancer screening solutions, acquires Biomediq A/S , a research-based company specializing in quantitative imaging biomarkers. Financial details of the acquisition were not disclosed. – ScreenPoint’s industry-leading Transpara AI platform will now incorporate Biomediq’s advanced risk analysis technology, which enables automated analysis of 2D and 3D mammograms to assess future breast cancer risk.
Today Cleerly , a leader in advanced cardiovascular imaging, announced the successful closure of its Series C extension funding round, raising a total of $106 million. This funding round was led by global software investor Insight Partners and joined by Battery Ventures with participation from pre-existing investors. With this new funding, Cleerly will continue to scale its commercial growth and clinical evidence generation, helping healthcare professionals improve outcomes for patients across t
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.
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.
What You Should Know: – MultiCare Capital Partners , the venture arm of large health system MultiCare , today is announcing a strategic investment in Layer Health , a healthcare AI company specializing in automating chart review. – The investment will accelerate Layer Health’s growth and expand the reach of its innovative platform across the healthcare industry.
It can be very overwhelming scrolling though job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Here’s a quick look at some of the health IT jobs we found: Senior Medical Director – Arizona Priority Care Information Technology Operations Manager – Franklin
By Cindy Jordan - With the help of technology, health plans now have a plethora of ways to interact with their members outside of the traditional in-person doctors visits whether it's through text messages, apps, e-mail, or web-based platforms. The post Leveraging Technology for More Impactful Member Engagement appeared first on Health IT Answers.
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.
The bevy of changes for the massive California nonprofit is meant to improve operations, but should also give Blue Shield a financial leg-up as it competes with well-funded for-profit peers.
Dr. Arti Masturzo, Chief Medical Officer atCCS The conversation about what makes a healthy body has never been simple. Throughout every era of history, people have resorted to calling each other too fat, too thin, too tall, too short, too curvy, too muscular, or too lanky, often to reinforce power structures or achieve social agendas. And every single time, we fall for it.
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.
By Martha Bebinger - Anna Goldman, a primary care physician at Boston Medical Center, got tired of hearing that her patients couldnt afford the electricity needed to run breathing assistance machines, recharge wheelchairs, turn on air conditioning, or keep their refrigerators plugged in. So she worked with her hospital on a solution. The post Patients Couldnt Pay Their Utility Bills.
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.
The law aims to close loopholes that officials say Steward Health Care exploited to keep regulators in the dark about its finances leading up to its bankruptcy.
Christopher McSpiritt, Head of life sciences at Domino Data Lab Data science teams in the life sciences industry are experiencing a significant change that will transform how clinical data is analyzed, opening the door to new possibilities for innovation. The transition isnt happening overnight, but such incremental approaches are necessary to ensure success in such a highly regulated environment.
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.
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Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?
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