Sat.Nov 18, 2023 - Fri.Nov 24, 2023

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Optimizing SNF Billing: A Comprehensive Guide with Essential Tips

Medisys Compliance

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.

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Tips for Building an Effective Healthcare Compliance Program

Compliancy Group

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.

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5 Reasons Why We Should be Thankful for Compliance Professionals

Healthicity

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.

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Four Critical Listening Skills for Compliance Officers 

YouCompli

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.

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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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Navigating FDA Compliance: A Guide to 21 CFR Part 210 and Part 211

Dot Compliance

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

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Judging in the Pandemic – A Malawian Perspective

Bill of Health

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

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Prisma Health saves $4M, and counting, with patient engagement tech

Healthcare It News

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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One aged care provider’s solution to meet rural service demand amid staff shortage

Healthcare IT News - Telehealth

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.

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Where are all the nurses? Hospitals, advocates disagree on crisis

Healthcare Dive

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.

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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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How Prisma Health unified digital health tech to boost patient engagement, slash no-shows

Fierce Healthcare

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.

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InterSystems cloud integration service comes to NZ and more briefs

Healthcare It News

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

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Acute hospital care at home gets good grades from CMS research

Healthcare IT News - Telehealth

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.

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AstraZeneca creates digital health unit, with big-name partnerships already in place

Healthcare Dive

Called Evinova, the unit will operate as a separate business within AstraZeneca, which sees digital health solutions as a market primed for growth.

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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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Medicare paid out $31.2B in improper payments for FY23, CMS says

Fierce Healthcare

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.

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Doctomatic helps providers to collect readings from remote patients

Healthcare It News

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.

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AstraZeneca launches Evinova to bring AI to clinical trials

Mobi Health News

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.

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PeaceHealth will pay up to $13.4M to settle charity care probe

Healthcare Dive

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.

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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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4.5M have signed up for coverage on the ACA exchanges so far in open enrollment: CMS

Fierce Healthcare

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.

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Steering healthcare's digital evolution: Marrying technology with the human element

Healthcare It News

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.

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From Paper to Pixels: The Future is Bright for Health Information Management

Healthcare IT Today

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

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Completion rates for tests, referrals lower from telehealth visits, study finds

Healthcare Dive

Failure to get tests or complete referrals is a leading cause of diagnostic errors, and it’s particularly important in primary care, researchers said.

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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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Ayble Health, Mayo Clinic collaborate to treat high-acuity patients in person

Fierce Healthcare

Ayble Health, a digital health platform for patients with chronic gastrointestinal conditions, has announced a new collaboration with the Mayo Clinic. | Ayble is working with the Mayo Clinic Complex Care Program to offer a hybrid care model to match patients with the appropriate virtual and in-person care based on acuity and need.

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HIMSSCast: Cedar collaborates with Google Cloud on AI to ease the patient billing experience

Healthcare It News

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.

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Toward a Wider Adoption of Digital Insurance Cards

Healthcare IT Today

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.

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Intermountain Health financials are in the black, but down from 2022

Healthcare Dive

The Salt Lake City-based operator posted $912 million in net income for the first nine months of 2023, down from the $2.2 billion reported last year.

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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.