Sat.Nov 11, 2023 - Fri.Nov 17, 2023

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Six Compelling Reasons to Begin Your HIPAA Compliance Journey Before the Year Ends

Total HIPAA

As 2023 unfolds, the urgency for entities in the healthcare sector to initiate or reinforce their HIPAA compliance cannot be overstated. This isn’t just about ticking off a checklist; it’s about safeguarding the future of your organization, whether you’re a medical practice, a health insurance agent, a self-funded employer, or a business associate in the healthcare realm. 1.

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Benefits of SOC 2 Compliance

Compliancy Group

Data breaches and cyberattacks have become more prevalent, making it essential for organizations to prioritize the security and privacy of their customers’ sensitive information. One effective way to achieve this is by obtaining SOC 2 compliance. SOC 2, short for System Organization Controls 2, is a widely recognized auditing standard developed by the American Institute of Certified Public Accountants (AICPA).

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The No Surprises Act Demands Real-Time Regulatory Compliance

HealthIT Answers

By Eric Demers - In 2022, 20% of adults said they or their family received an unexpected medical bill. The No Surprises Act, which went into effect last year, is better late than never. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes. The post The No Surprises Act Demands Real-Time Regulatory Compliance appeared first on Health IT Answers.

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Which Compliance Framework Governs the Healthcare Industry?

MedTrainer

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity. Let’s start by defining what a compliance framework is all about.

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3 Reasons to Retire Pagers from Healthcare Settings

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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UnitedHealth sued over use of algorithm to deny care for MA members

Healthcare Dive

The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.

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AI roundup: HEALWELL AI buys LLMs, Forward to roll out staffless health kiosks

Healthcare It News

Companies are expanding their reach with artificial intelligence through acquisitions, investments and government approvals on a near-daily basis. These are just some of the AI health tech announcements we're watching unfold this week. HEALWELL AI to acquire majority control of Pentavere HEALWELL AI debuted last month after partnering with WELL Health Technologies, which provides a digital healthcare operations platform, to launch AI-based decision support to advance early disease diagnosis

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Using Automation to Improve Payer Collaboration: On Air Insights

MRO Compliance

Managing laborious payer processes is one of the most cumbersome operational challenges for hospitals and health systems. From initial claim submission to filling additional documentation requests, and responding to payer audits or denials, healthcare provider organizations dedicate significant time and resources to collaboration with payers. I recently had the pleasure of sitting down with Beth Friedman, Senior Partner of FINN Partners, on FINN Voices , part of Healthcare NOW Radio.

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Mayo Clinic posts $4.5B in operating revenue for Q3

Healthcare Dive

After a rocky 2022, the Minnesota-based nonprofit has posted a net income in three consecutive quarters on sustained volumes and moderating expenses.

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Reviewing Solidarity in the Principles and Guidelines on Human Rights and Public Health Emergencies

Bill of Health

By Eduardo Arenas Catalán The Principles and Guidelines on Human Rights and Public Health Emergencies (the Principles), entail a notable attempt to consolidate lessons learned from the COVID-19 pandemic. After the largely non-solidaristic international response to COVID-19, the Principles outline the advantages and limitations of embedding human rights discourse within the global public health machinery.

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15 Modern Use Cases for Enterprise Business Intelligence

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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Where social work, tech and health equity intersect

Healthcare It News

Felisha Norrington, director of academic assistance at GSU's College of Nursing and Health Professions, says while there is movement on health equity, social work and technology investments help ensure care resources are accessible to all people.

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A light bulb went off: 'Alexa for telemedicine!'

Healthcare IT News - Telehealth

As was the case with many healthcare organizations, the COVID-19 pandemic ushered in a significant increase in telehealth visits for Phoenix Children’s Hospital – especially in outpatient clinics. THE PROBLEM For a children’s hospital, this meant that often for the first time, parents and/or extended family could attend a doctor’s visit virtually and take a more active role in the care of their children.

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One Medical enters New Jersey through latest health system deal, with Hackensack Meridian Health

Healthcare Dive

The partnership announced Tuesday adds another hospital operator to the company’s bench of health system affiliates. One Medical plans to open its first clinic in the Garden State by the end of next year.

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Five Opportunities to Use the Law to Address Persistent OUD Treatment Gaps 

Bill of Health

By Jon Larsen and Sterling Johnson People who need opioid use (OUD) treatment in the United States are often not receiving it — at least two million people with OUD are experiencing a treatment gap that prevents or hampers their ability to receive life-saving care and support. This reality reflects structural, policy, and legal misalignments common to the entire U.S. health care system, but that are especially present for behavioral health needs like substance use, and are exacerbated by other c

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

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

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Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M investment

Fierce Healthcare

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

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How one gastroenterology practice uses hybrid virtual care to improve patient experience

Healthcare IT News - Telehealth

Gastroenterology Associates of New Jersey needed to optimize care and capacity: Reimbursement gets tighter every year while patient demand grows. The practice aims to improve access for necessary in-person care and procedures while offering patients complementary proven interventions ideally suited for telemedicine. THE PROBLEM "Gastroenterology is a complex specialty," said Dr.

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Most rural hospitals no longer deliver babies, report finds

Healthcare Dive

Financial challenges at rural hospitals — driven by reimbursement problems — are leading facilities to shutter labor and delivery wards, according to a new report.

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In-Ear Wearable Measures Blood Flow to the Head for Long COVID POTS

HIT Consultant

What You Should Know: STAT Health emerges from stealth to introduce a 24/7 in-ear wearable that measures blood flow to the head to better understand symptoms such as dizziness, brain fog, headaches, fainting, and fatigue that occur upon standing. These are common symptoms for illnesses like long COVID, postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS), and other orthostatic (caused by standing) syndromes that affect more than 13 milli

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

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.

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UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

Fierce Healthcare

UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.

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Telehealth consortium to deliver after-hours service in rural NZ

Healthcare IT News - Telehealth

A new after-hours clinical telehealth service will be offered shortly to rural communities in New Zealand. This comes after the contract to deliver the said service nationwide over three years was awarded to a consortium of telehealth providers, which is composed of Reach Aotearoa, Practice Plus and Emergency Consult. WHAT IT'S ABOUT Commissioned by Te Whatu Ora and Te Aka Whai Ora, the new service will provide after-hours care on weekdays and will be available round-the-clock on weekends an

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Top FDA official Woodcock to retire early next year

Healthcare Dive

The 37-year veteran helmed the agency’s pandemic response, and was a key decision-maker in controversial calls on opioids, an Alzheimer's therapy and muscular dystrophy drugs.

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Reimagining Health Tech on the Cusp of ONC’s Final HTI-1 Rule – Regulatory Talk Series

Healthcare IT Today

The following is a guest article by Nick Barger, PharmD, Vice President, Product at DrFirst. This article kicks off the Healthcare Regulatory Talk series. There’s a collective holding of breath right now in health IT as the ONC appears likely to issue its final HTI-1 rule with new data standards for the next stage of healthcare interoperability soon.

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Real-Life Examples of HIPAA Violations and How to Avoid Them

Speaker: Jack Clough, Chief Growth Officer

Download our 30-minute webinar where we delve into real-life examples of HIPAA violations and preventative measures every organization should know! You will learn: The critical factors that lead to HIPAA violations and how to identify them. Three compelling real-life cases of organizations that faced severe HIPAA penalties. Proven strategies to safeguard YOUR organization against HIPAA violations.

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Prior authorization and other regulatory burdens have increased since last year, practices tell MGMA

Fierce Healthcare

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and require | The latest annual poll of practices' regulatory burden outlined prior authorization, audits and appeals, Medicare QPP and other leading pain points that physicians say are weighing down theor staff and ability to deliver care.

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Frontline digitisation funds at risk to cover industrial action costs

Digital Health News

A new guidance letter from NHSE to trusts on industrial action suggests investment for frontline digitisation may be pulled from more mature trusts

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Senate subcommittee signals support for permanent telehealth flexibilities

Healthcare Dive

But witnesses noted Congress shouldn’t wait to enshrine pandemic-era accommodations for virtual care, arguing regulatory uncertainty is a danger to telehealth’s longevity.

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Yosi Health Asks the Right Questions to Support Patient Self-Scheduling

Healthcare IT Today

Yosi Health offers a full suite of virtual patient intake services that lets patients fill out forms and complete their intake before they come in for clinical visits, online self-scheduling of appointments, two-way text communication, billing, patient surveys, telehealth and more. In a recent video interview with CEO Hari Prasad, he describes how they have overcome the traditional barriers to patient self-scheduling and other insights into their unique approach to the patient intake process.

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Best Practices to Streamline Compensation Management: A Foundation for Growth

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.