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Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing. With Medicare Part A serving as a primary payer for many residents, understanding the intricate landscape of SNF billing is crucial to ensure proper reimbursement and compliance. In this guide, we will explore into essential SNF billing tips to help you optimize your billing processes and navigate the complexities of reimbursement.
Healthcare organizations face a series of challenges, especially regarding healthcare compliance. When you work in the healthcare space, you must meet regulatory standards such as HIPAA, OSHA, and SOC 2. So, how can you ensure that your healthcare compliance program is effective – protecting your staff, patients, and business? Follow these tips to ensure you’re implementing an effective healthcare compliance program.
In past years at Thanksgiving time, we’ve written about the reasons compliance professionals should be thankful for working in the compliance profession. This year, let’s explore why organizations should be grateful for you, the compliance professionals, who build and manage compliance programs.
Wikipedia describes listening as “giving attention to sound or action.” This overly simplistic definition fails to address the inherent challenges that keep many people from being a good listener in life and, more particularly, in the workplace. The obstacles to good listening skills are many. Those include interruptions, inattention, biased or selective hearing, and focusing on your response rather than the speaker.
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!
In the pharmaceutical industry, ensuring the safety and quality of drugs is paramount. Manufacturers must adhere to stringent regulations set forth by the U.S. Food and Drug Administration (FDA) to meet the Current Good Manufacturing Practice (cGMP) standards. For companies in the manufacturing, processing, packing, or holding of drugs, compliance with 21 CFR Part 210 and 21 CFR Part 211 is not just a regulatory requirement; it’s the key to producing safe and effective pharmaceutical produ
Bankruptcies have spiked this year as federal COVID-19 funding lapsed and heightened interest rates, regulatory changes and labor shortages squeezed the sector.
Prisma Health, the largest nonprofit healthcare provider in South Carolina, says that by integrating digital patient communications, it's decreased no-shows to the tune of $4 million in savings within the first two years. That achievement, accomplished with help from patient engagement company Artera, is estimated to result in an $8 million overall cost savings.
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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.
Prisma Health, the largest nonprofit healthcare provider in South Carolina, says that by integrating digital patient communications, it's decreased no-shows to the tune of $4 million in savings within the first two years. That achievement, accomplished with help from patient engagement company Artera, is estimated to result in an $8 million overall cost savings.
By Zione Ntaba Malawi is not a stranger to public health crises in the last number of years, having faced a severe HIV epidemic and several cholera outbreaks continuing into 2023. Nevertheless, the onset of the COVID-19 pandemic caused a major panic in the country’s legal system and judiciary. COVID-19 brought to fruition a major ethical dilemma in ensuring the justice system’s continued functioning, while also protecting the lives of all those involved, and simultaneously ensuring the promotion
Australia is facing a shortfall of at least 110,000 aged care workers by 2030 , according to a projection by the Committee for Economic Development of Australia. The issue is expected to have a profound impact on the aged care sector as it is predicted to be competing with other nursing sectors to hire and retain between 20,000 to 40,000 available staff over the next two years.
NZ launch of InterSystems' cloud-based integration engine InterSystems has launched in New Zealand its managed integration engine cloud service, HealthShare Health Connect Cloud. The platform-as-a-solution streamlines interoperability and data integration between clinical systems and applications. It also manages cloud migration infrastructure, enabling providers to "more quickly and easily connect distributed datasets, efficiently move workloads and information across cloud solutions a
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.
Patients who received care under the pandemic's Acute Hospital Care at Home program had a low mortality rate and minimal complications related to escalations back to the brick-and-mortar hospital, according to a CMS research letter published in the Journal of the American Medical Association Health Forum.
Hospitals and nursing unions clash on what’s driving sluggish application rates for open registered nurse positions at hospitals — a lack of qualified candidates or a lack of interest.
Artificial Intelligence Electronic Health Records (EHR, EMR) Patient Engagement Population Health Workforce "Through my involvement with HIMSS Europe and EMRAM stage 7 validations, I’ve observed that the most successful organisations in healthcare IT are those with a stable, digital-savvy culture." Dr Ana Rafaela Prado In the swiftly changing healthcare landscape, the fusion of technology and patient care is increasingly integral.
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.
Navigating the healthcare system often requires using different websites, mobile apps and phone calls to find providers and make appointments. | The health system has seen a 10x increase in downloads of the Prisma Health Go app, from 40 to up to 400 downloads per day. The health system also reports a 33% reduction in patient no-shows in one year and estimates $8 million in cost savings as a result of slashing the no-show rates.
HIMSS23 Europe Startup PitchFest winner Doctomatic captures and assesses remote patient measurements using visual AI. Carmen Pauline Rios Benton, cofounder of the Spanish startup, shares the details.
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.
The evolution of Health Information Management (HIM) professionals has been remarkable. They are no longer paper pushers (literally) and are now stewards of healthcare data. Jennifer Mueller, President of the American Health Information Management Association ( AHIMA ), sees a bright future for the HIM industry. Healthcare IT Today sat down with Jennifer Mueller, AHIMA President and the Vice President & Privacy Officer at the Wisconsin Hospital Association Information Center ( WHAIC ) to the
Cedar announced earlier this year a collaboration using Google Cloud's generative AI tools to assist patients in understanding and resolving their healthcare bills. Cedar is preparing to deploy AI tools in the market by early next year. The aim is more than paying for healthcare, it's making it easier for consumers to pay for healthcare, according to Cedar president Seth Cohen.
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.
The pharma giant's new health tech company will operate as a separate business and scale the company's already established digital technologies to enhance clinical trials.
The insurance card in my wallet—where I always keep it in case of emergency—is getting pretty dog-eared and frayed. So I was intrigued when Mark Scrimshire, chief interoperability officer of OnyxOS , introduced me to developments over the past few years that will make digital insurance cards feasible. This article looks at what it will take to let us all check in to our doctor’s office as easily as we wave our cell phone before a scanner in a retail store.
The Washington-based nonprofit said their policies center care, "not maximizing collections." The state's attorney general said the hospital failed to notify patients about financial assistance options.
Traditional Medicare paid out an estimated $31.2 billion in improper payments in fiscal year 2023, according to new data from the federal government. | The Centers for Medicare & Medicaid Services released its annual look at improper payments and found that the overall rate in Medicare was 7.38%, which sits below the 10% level mandated in statute.
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.
For the 64th episode of the CIO podcast hosted by Healthcare IT Today, we are talking about cost optimization with Muhammad Siddiqui, Chief Digital & Information Officer at Reid Health. First, we discuss his approach to cost optimization from an IT perspective. Then he shares his process with budgets in this current uncertain environment. Next, we debate how a CIO should approach maximizing their current investments.
Open enrollment on the insurance marketplaces began on Nov. | Open enrollment on the insurance marketplaces began on Nov. 1, and more than 4.5 million people have selected plans in the early weeks of the process, according to new federal data.
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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