Credentialing is more than compliance; it’s provider experience and your bottom line
Healthcare Dive
OCTOBER 23, 2023
Credentialing bottlenecks cause delays that can soon add up to a multi-million dollar headache.
Sat.Oct 21, 2023 - Fri.Oct 27, 2023
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Maintaining HIPAA-Compliant Communication Amongst Colleagues
HealthIT Answers
OCTOBER 23, 2023
By Art Gross- In such an intense and impactful field, it’s completely understandable that healthcare professionals often find themselves wanting to share experiences or seek support from colleagues. However, they must navigate a delicate balance due to the stringent regulations imposed by HIPAA. The post Maintaining HIPAA-Compliant Communication Amongst Colleagues appeared first on Health IT Answers.
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2023-2024 PCORI Fee Released
Compliance Now
OCTOBER 23, 2023
By Megan Diehl, Manager of Compliance Consulting, MZQ Consulting The Patient-Centered Outcomes Research Institute (PCORI) fee established by the Affordable Care Act helps fund research to evaluate and compare health outcomes, clinical effectiveness, risks, and benefits of medical treatment and services. The fee is currently in place through 2029. In Notice 2023-70 , the IRS announced that the PCORI fee for plan years ending between October 1, 2023, and September 30, 2024, is $3.22.
ACOs and the Shift to Electronic Clinical Quality Measures
MRO Compliance
OCTOBER 23, 2023
Evolving the ROI Process with a Focus on Digitization In August 2023, For the Record Magazine published a guest article co-authored by Anthony Murray, CISSP, and me. The article is entitled Release of Information: The Digitization of ROI , and includes valuable insights into pivotal shifts in the ROI landscape and how these changes affect HIM teams.
Bridging Innovation & Patient Care: The Growing Role of AI
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!
Understanding the Benefits of Insurance Billing Companies for Healthcare Providers
Medisys Compliance
OCTOBER 25, 2023
Introduction Healthcare providers in the United States often face a complex and time-consuming process when it comes to submitting insurance claims and collecting payments. In an effort to streamline this intricate task, many providers turn to insurance billing companies. These companies specialize in facilitating the insurance billing process, either by completely outsourcing the billing function or by providing additional expertise to supplement in-house billing staff.
Express Scripts sued by independent pharmacies over alleged price fixing
Healthcare Dive
OCTOBER 23, 2023
The Cigna-owned pharmacy benefit manager colluded with rival Prime Therapeutics to overcharge pharmacies, according to a lawsuit filed last week.
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COVID-19 Showcased Failed Global Cooperation
Bill of Health
OCTOBER 26, 2023
By Kayum Ahmed, Julia Bleckner, and Kyle Knight In mid-May, the World Health Organization officially declared the “emergency” phase of the COVID-19 pandemic over. However, the deep wounds of the pandemic remain, compelling those concerned about this pandemic and future health emergencies to account for catastrophic failures by those in power. These reflections suggest that the public health crisis could have been addressed differently, both reducing COVID-19’s unprecedented magnitude of illne
Patient outcomes point to efficacy of telehealth and virtual care
Healthcare IT News - Telehealth
OCTOBER 24, 2023
The emergence of telehealth during the COVID-19 pandemic and the resulting surge in the adoption of telemedicine are helping address patients’ needs without major signs of safety concerns, according to a study by Kaiser Permanente. WHY IT MATTERS The study, published in the Annals of Internal Medicine, analyzed more than 1.5 million adult patients at Kaiser Permanente Northern California in 2021, and compared treatment and follow-up visits among primary care telemedicine (video and telepho
AI, machine learning top health CIO priorities in 2023, survey finds
Healthcare Dive
OCTOBER 26, 2023
Artificial intelligence and virtual care technologies are increasingly being adopted by hospitals to ease resource strain, but managing new tools adds “a heavy operational burden” for IT teams.
WebMD Ignite collaborates on data privacy in omnichannel outreach
Healthcare It News
OCTOBER 24, 2023
Healthcare organizations can now prevent protected health information collected by their marketing channels from reaching destinations where organizations do not have a business associate agreement, according to WebMD Ignite and Freshpaint. WHY IT MATTERS For healthcare organizations, the use of cookies, tracking technologies, digital advertising and analytics tools that other industries use to drive growth presents serious privacy risks and technical challenges.
HIPAA Compliance 2025: Navigating Regulatory Changes & Industry Trends
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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.
Introduction to the Symposium: From Principles to Practice: Human Rights and Public Health Emergencies
Bill of Health
OCTOBER 24, 2023
By Roojin Habibi, Timothy Fish Hodgson, and Alicia Ely Yamin Today, as the world transitions from living in the grips of a novel coronavirus to living with an entrenched, widespread infectious disease known as COVID-19, global appreciation for the human rights implications of public health crises are once again rapidly fading from view. Against the backdrop of this burgeoning collective amnesia, a project to articulate the human rights norms relevant to public health emergencies led to the devel
Where virtual care meets value-based care
Healthcare IT News - Telehealth
OCTOBER 24, 2023
Gary Hamilton, CEO of patient engagement technology vendor InteliChart, believes three things about virtual care that, he says, deserve more attention: Telehealth services can offer healthcare providers the opportunity and capability to reach broader populations – and they can serve as disease prevention tools for these populations. Telemedicine tools can help ensure physicians and their care teams better manage patient care, and the associated workflow, to help their patients stay their h
Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver?
Healthcare Dive
OCTOBER 25, 2023
Big questions hang over the California health insurer's bold experiment — having five vendors carry out PBM functions previously performed by one — that could threaten BSCA's expected savings.
Tufts Medical Center to pilot nutrition screening in EHR
Healthcare It News
OCTOBER 27, 2023
By creating food and nutrition insecurity screening within Tufts Medicine’s Epic electronic health record and patient engagement system, the new Tufts University Food is Medicine Institute in Boston and its team of medical, science, technology and health policy collaborators hope to further food is medicine science. They also aim to figure out how to address food and nutrition accessibility within the healthcare system.
Simplify Screening for Excluded Providers
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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.
Protecting the Consumer at the Heart of DTC Precision Medicine
Bill of Health
OCTOBER 27, 2023
By Adithi Iyer In my last piece , I discussed the hypothetical successor of 23andme — a tissue-based direct-to-consumer testing service I’ve called yourtissueandyou — and the promise and perils that it might bring in consumer health information and privacy. Now, as promised, a closer look at the “who” and “how” of protecting the consumer at the heart of direct-to-consumer precision medicine.
DHA taps Amwell, Leidos for 'Digital First' initiative
Healthcare IT News - Telehealth
OCTOBER 23, 2023
The Defense Health Agency has awarded Amwell and Leidos a new contract to develop a hybrid care technology platform for the Military Health System's "Digital First" efforts. WHY IT MATTERS Through the deal, the Amwell Converge platform will be deployed to help DHA care teams deliver more seamless "in-person, virtual and automated" healthcare services for the MHS, officials say.
Ransomware attacks on healthcare facilities cost $77.5B in downtime, report finds
Healthcare Dive
OCTOBER 27, 2023
On average, organizations were shut down or unavailable to provide services for 14 days to due to ransomware attacks from 2016 through mid-October this year, according to cybersecurity research firm Comparitech.
Making SDOH resource matching better with AI
Healthcare It News
OCTOBER 24, 2023
DUOS uses large language models to leverage social determinants of health and enhance care-navigation access for Medicare beneficiaries. Feedback from platform users improves the artificial intelligence, said Karl Ulfers, cofounder and CEO.
Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape
Speaker: Jennifer Hill
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.
A Pseudo-Nonprofit Model for Psychedelic Clinical Trial Funding
Bill of Health
OCTOBER 25, 2023
By Vincent Joralemon A $70 million deal struck between a venture capital firm and a prominent psychedelic advocacy organization suggests that funding for psychedelic research may increasingly rely on nonprofit and commercial partnerships. As the commercial appeal of these substances grows , this might serve as a promising model to channel the resources of for-profit entities toward this field.
NUS Medicine introducing holographic GI care training and more briefs
Healthcare IT News - Telehealth
OCTOBER 26, 2023
NUS Medicine to introduce holographic GI module The Yong Loo Lin School of Medicine at the National University of Singapore (NUS Medicine) has tied up with GigXR, a California-based provider of holographic healthcare training, to introduce a new mixed reality-based (MR) training module for treating and diagnosing acute gastrointestinal diseases. GigXR's HoloScenarios: Gastrointestinal module on the Gig Immersive Learning Platform presents a holographic simulation of a clinical setting featur
Calling healthcare burnout a crisis is an ‘understatement,’ CDC says
Healthcare Dive
OCTOBER 25, 2023
The Centers for Disease Control and Prevention is sounding the alarm on increasing levels of burnout and harassment in the healthcare industry.
Using tech to get to health equity-social determinants of health link
Healthcare It News
OCTOBER 27, 2023
Lynn Carroll, COO of HSBlox, discusses enterprise-level capabilities required for critical inputs into SDOH and other core processes, and the role of AI and machine learning to target the most vulnerable individuals.
The Evolution of Communication in Healthcare Settings
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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.
Japanese doctors start adopting gen AI
Mobi Health News
OCTOBER 24, 2023
Ubie has recently introduced an LLM-based feature that provides an automated summary of patient pre-interviews.
More accurate data is needed to achieve health equity
Healthcare IT News - Telehealth
OCTOBER 25, 2023
CMS should get more information from Medicare users to help address their health disparities, suggests Ann Maxwell, deputy inspector general for evaluations at the U.S. Department of Health and Human Services Office of Inspector General.
2.3M people would gain coverage if 10 remaining states expanded Medicaid, report finds
Healthcare Dive
OCTOBER 24, 2023
Black people, young adults and women, especially those of reproductive age, would see the biggest coverage gains, according to the Robert Wood Johnson Foundation and the Urban Institute.
Why consent is a key part of the health equity equation
Healthcare It News
OCTOBER 26, 2023
Interoperability agreements between public health systems, along with centralized consent management for sharing healthcare and other data, are must-haves for advancing health equity, says Daniel Stein, president of Stewards of Change Institute.
Healthcare Vendor Risk Management: Strategies for Protected Data
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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.
Industry Voices—The beginning of the end for Alzheimer’s Dementia?
Fierce Healthcare
OCTOBER 26, 2023
The approval of Leqembi by the Food and Drug Administration marks an exciting turning point for Alzheimer’s disease. | The approval of Leqembi by the FDA marks an exciting turning point for Alzheimer’s disease. There are big questions around costs, access, risk and efficacy in certain populations. The most urgent, overarching question is: How can we find patients who will benefit from the drug before their condition progresses outside of the treatment window?
Built at Redesign Health, Harmonic Health launches for dementia care delivery
Healthcare IT News - Telehealth
OCTOBER 25, 2023
The care-management platform also announced a partnership with a large family medicine practice with offices in Pennsylvania, Delaware and Maryland.
Insurance coverage not a panacea for healthcare affordability: survey
Healthcare Dive
OCTOBER 26, 2023
Numerous studies have outlined how high medical costs affect uninsured individuals, but healthcare prices are straining household budgets regardless of insurance type, according to the Commonwealth Fund.
Payers have a part to play in addressing health disparities
Healthcare It News
OCTOBER 27, 2023
Health plans can begin by collecting data on race and ethnicity from their members, says Leah Dewey, VP of clinical and consumer engagement operations at Cotiviti.
3 Reasons to Retire Pagers from Healthcare Settings
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.
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