MRO Compliance

JANUARY 7, 2025

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

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US Department of Health and Human Services Compliance Regulatory Compliance Fraud 173

Healthcare It News

JANUARY 9, 2025

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.

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Fraud 159

Healthcare IT News - Telehealth

JANUARY 8, 2025

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.

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Telemedicine Governance Health Outcomes Hospitals 145

Healthcare Dive

JANUARY 8, 2025

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.

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Medical Billing 269

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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.

Telemedicine

Electronic Health Reporter

JANUARY 5, 2025

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.

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Healthcare It News

JANUARY 8, 2025

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.

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Hospitals 158

Healthcare Dive

JANUARY 9, 2025

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.

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Hospitals 300

Healthcare IT Today

JANUARY 10, 2025

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

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MRO Compliance

JANUARY 8, 2025

Healthcare NOW Radio Podcast Network MRO Exchange: University Health Kansas City's RCM journey with Seth Katz S2E1: Host Matt Wildman, MRO’s Chief Commercial Officer, interviews Seth Katz, University Health Kansas City’s VP of Revenue Cycle and HIM. They discuss University Health KC’s journey to a new release of information vendor.

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Fierce Healthcare

JANUARY 9, 2025

Hippocratic AI is kicking off 2025 with a bang. The startup, which is building a large language model specifically for healthcare use cases, banked a $141 million series B financing round only nine months after its series A round.

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Advertiser: Celo

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.

Hospitals

Healthcare Dive

JANUARY 7, 2025

The complaint alleges nearly two dozen pharmaceutical companies colluded to limit competition, causing costs for certain generic medications to skyrocket.

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Healthcare IT Today

JANUARY 8, 2025

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

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Digital Health News

JANUARY 6, 2025

The government will develop a shared digital platform to allow up-to-date medical information to be shared between the NHS and care staff.

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Governance 126

Fierce Healthcare

JANUARY 8, 2025

Healthcare tech company H1 picked up Ribbon Health, a provider data management software company to broaden its reach into the health plan, provider system and digital health sectors.

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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?

Healthcare Dive

JANUARY 8, 2025

CVS’ efforts to reform how its pharmacies are paid have reached a significant milestone that should stabilize flagging margins.

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Healthcare IT Today

JANUARY 7, 2025

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.

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HIPAA Compliance Ransomware Governance 114

HIT Consultant

JANUARY 8, 2025

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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HIPAA Health Outcomes Compliance 97

Fierce Healthcare

JANUARY 6, 2025

A Louisiana patient who had been hospitalized with the first human case of highly pathogenic avian influenza, or H5N1, in Louisiana and the U.S. has died, the state's health department reported Monday.

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Hospitals 130

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven

Healthcare Dive

JANUARY 9, 2025

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.

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Healthcare IT Today

JANUARY 6, 2025

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

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Digital Health News

JANUARY 9, 2025

Airedale and Bradford hospitals have teamed together to create and launch a digital resource for patients on diagnosing Lynch Syndrome.

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Hospitals 114

Fierce Healthcare

JANUARY 10, 2025

Private equity firm New Mountain Capital plans to acquire Machinify and combine its with its previous merger of The Rawlings Group, Apixios Payment Integrity business and Varis to create a powerhouse in the payment integrity market. The combined entity will have revenue of more than $500 million.

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Remote patient monitoring (RPM) is transforming healthcare by enabling providers to track patient health outside traditional clinical settings. This blog explores the role of technology in RPM, including wearable devices, mobile apps, and connected medical tools that collect and share real-time data. Discover how RPM expands care access, improves outcomes, enhances patient engagement, and reduces costs by shifting from reactive to proactive care.

Healthcare Dive

JANUARY 9, 2025

Nearly 30% of the funding poured into healthcare startups last year went to companies leveraging artificial intelligence, according to Silicon Valley Bank.

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Healthcare IT Today

JANUARY 8, 2025

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

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Due Diligence Hospitals 111

Mobi Health News

JANUARY 7, 2025

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.

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Fierce Healthcare

JANUARY 10, 2025

CMS is recommending a 2.23% payment increase from the federal government to MA plans. Payers will likely be much happier at this year's advance notice than the prior year's rate cut.

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Governance 116

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Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.

Compliance

Healthcare Dive

JANUARY 8, 2025

The deal expected to close in the second quarter will take Accolade private and create a single firm with more than 1,400 employer and payer clients.

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Healthcare IT Today

JANUARY 6, 2025

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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Nurses Hospitals Governance Compliance 92

Digital Health News

JANUARY 6, 2025

The government is upgrading the NHS App to enable patients to choose providers, book appointments and receive test results, all in one place.

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Governance 114

Fierce Healthcare

JANUARY 8, 2025

Blue Shield of California is restructuring its corporate operations, including a change at the top that brings in its first-ever female CEO. | Blue Shield of California is restructuring its corporate operations, including a change at the top that brings in its first-ever female CEO.

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Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.