Sat.Jan 27, 2024 - Fri.Feb 02, 2024

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Easy Techniques to Improve IT Compliance & Automation in a Digital Health World

Healthcare IT Today

In case you missed it, we had a great webinar recently with Shereese Maynard, MS, MBA, Co-Founder at Nostradata Medical , Dan Sloshberg, VP Product & Customer Marketing at Exclaimer , and myself discussing IT compliance and automation. While there’s a lot of talk about IT compliance and automation, in this webinar we shared a wide variety of easy techniques and opportunities that were available to healthcare organizations to automate something for their organization in a compliant way

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What Is a Red Flag in Healthcare Compliance?

MedTrainer

You’re driving down the road and the Check Engine light comes on. The hair on the back of your neck rises when you walk in a dark room. Those are examples of red flags – literal or metaphorical signs that some problem requires attention or there is imminent danger. Healthcare has its share of warning signs. But what is a red flag in health compliance?

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Telehealth Insights for Compliance and Auditing Professionals

Healthicity

Tune in to our latest Compliance Conversations interview with Maya Turner, a seasoned expert in the healthcare industry with close to 30 years of experience in auditing, coding, billing, compliance – you name it.

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Using an OSHA Checklist in Your Medical Office

Compliancy Group

In the healthcare industry, safety and compliance are of utmost importance. Whether you’re a patient seeking medical care or a healthcare professional providing it, ensuring a safe working environment is crucial. This is where OSHA (Occupational Safety and Health Act) plays a vital role in maintaining workplace safety standards across various industries, including medical offices.

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Navigating the Future: Generative AI, Application Analytics, and Data

Generative AI is upending the way product developers & end-users alike are interacting with data. Despite the potential of AI, many are left with questions about the future of product development: How will AI impact my business and contribute to its success? What can product managers and developers expect in the future with the widespread adoption of AI?

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Importance of Policies and Procedures in Healthcare

Compliancy Group

Many organizations struggle with crafting policies and procedures. In healthcare, guidelines are far more essential than in other businesses. Following guidelines helps set expectations. They guide office procedures and patient care Get this wrong, and it can lead to a life-or-death situation. Even minor mishaps can lead to significant risk. You know this.

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Introductory Editorial — Critical Psychedelic Studies: Correcting the Hype

Bill of Health

By Neşe Devenot Since the 2022 publication of “ Preparing for the Bursting of the Psychedelic Hype Bubble ,” a JAMA Psychiatry Viewpoint by David Yaden and colleagues, a wave of scholarship and commentaries has emphasized the ethical importance of nuanced science communication about the still-nascent field of psychedelic medicine. As the journalist Katie MacBride recently described in The Daily Beast , there is now a “growing minority” of scholars and activists in the psychedelics field who are

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No Surprises Act prevented 10M surprise bills in first nine months of 2023, insurer groups say

Healthcare Dive

AHIP and BCBSA also took aim at providers for allegedly abusing the billing dispute resolution process set up by No Surprises in the latest salvo over the polarizing law.

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Insurer survey: No Surprises Act shielded patients from 10M surprise bills

Fierce Healthcare

Patients were protected from more than 10 million surprise medical bills thanks to reforms in the No Surprises Act, according to a new survey. | Patients were protected from more than 10 million surprise medical bills thanks to reforms in the No Surprises Act, according to a new survey.

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Common Problems in Psychedelic Science, and How to Fix Them

Bill of Health

By Eiko I. Fried and Michiel van Elk Much optimism has been expressed about the potential of psychedelics to treat mental health problems such as suicidal ideation, depression, and post-traumatic stress disorder. This optimism goes hand in hand with a notable increase in research publications, investments from pharmaceutical companies, patent filings, media exposure, as well as shifts in political and legislative landscapes.

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Healthcare should broaden efforts to scale genAI, say IT leaders

Healthcare It News

The Deloitte 2024 Healthcare Generative AI Outlook study released this week takes a closer look at potential blind spots leaders may have as they implement generative artificial intelligence. WHY IT MATTERS In the new report, Deloitte researchers said 70% of the executives surveyed were highly focused on data availability, quality, compliance, security and privacy during implementation, but they "may miss the imperative.

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Optimizing Medical Waste Management: A Guide to Best Practices

Feeling overwhelmed by medical waste regulations? This comprehensive guide unravels the complexities of medical waste disposal, ensuring you stay compliant and prioritize safety. Inside you'll find: Clear categorization: Learn to precisely classify medical waste for proper handling and disposal. Labeling & Storage: Discover best practices for clear labeling and secure storage of medical waste.

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Telehealth availability for mental healthcare varies by state, study finds

Healthcare Dive

Mental health treatment can be challenging to access, and earlier research has found telehealth could expand the number of people who receive care. But the latest study found virtual care availability could be hindered by location.

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Hospital-backed proposal would make insurers reveal prior auth denial rates

Fierce Healthcare

A recommendation on the 2024 Measures Under Consideration list, brought forward by the Federation of American Hospitals (FAH), would add a quality measure in the Medicare Advantage (MA) star rating | The Federation of American Hospitals is pushing CMS for the inclusion of a star ratings quality measure that shows how often insurers overturn or uphold prior authorization denials.

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History Rhymes with the Psychedelic Boom

Bill of Health

By David Herzberg As a historian of psychoactive pharmaceuticals in the 20 th century U.S., I see history rhyming in potentially dangerous ways in the current psychedelic boom. After decades of being associated with insanity, violence, and social disorder, psychedelics are now being embraced as potential wonder drugs. What appears to be a radical, 180-degree shift in reputation, however, masks an underlying similarity: both of these mirror-image stories belong to the mythologies of the consumer

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India's growing focus on AI for precision medicine

Healthcare It News

New adjunct specialty facilities in India's leading health institutions are advancing precision medicine in the country through AI. The Apollo Cancer Centre (ACC) in Bengaluru has recently opened what could be the country's first Precision Oncology Centre powered by AI. It offers comprehensive, specialised care that is tailored to each individual.

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HIPAA Compliance: Can Your Organization Avoid Costly Government Penalties and Fines?

Colington Consulting was established in 2013 and helps organizations achieve HIPAA compliance and ensures clients stay current with the latest enforcement trends. We provide a full range of HIPAA compliance services and consulting. What separates us from our competitors is our knowledge of HIPAA compliance regulations and their application to each of our client’s particular scenarios and requirements.

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Low operating margins will be new normal for some nonprofit hospitals: Fitch

Healthcare Dive

The sector's recovery from the COVID-19 pandemic has been slower than expected. In a new report, the credit agency said some hospitals may never reach traditional healthy operating margins.

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'Cybersecurity matter' forces Lurie Children's Hospital to take communications, MyChart offline

Fierce Healthcare

Lurie Children’s Hospital of Chicago has been working through a “cybersecurity matter” since Wednesday that has led the organization to take its phone, email and Epic MyChart systems offline, accor | Illinois' largest pediatric care provider said it took down its systems preemptively on Wednesday, leading to disruptions across its hospital and other locations.

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Psychedelics in the Clinical Setting: The Potential for Harm and the Promise of Healing

Bill of Health

By Caroline Hayes The psychedelic renaissance is well underway, with hundreds of clinical trials currently looking into a plethora of different mental health conditions. I was a sub-investigator on a clinical trial researching a psychedelic study drug to treat depression, but I have since stepped back from psychedelic clinical trials due to personal ethical concerns about the way the field is evolving.

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Slow and steady uptake of genAI in APAC healthcare in 2024

Healthcare It News

Never has any modern tool promised greater efficiency and support than what generative AI offers. Last year saw industries, including healthcare, quick to jump in on the trend to get first mover advantage. Applications have also been varied, from documentation to clinical decision support and even in combination with robotics. While the enthusiasm for genAI will remain elevated this year – with governments even investing in this emerging lucrative space , the pace of adoption will likely b

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Everything You Wanted to Know About FACIS, but Didn’t Know to Ask

Speaker: Amy Anderson

FACIS® helps organizations mitigate patient and organizational risk. Maintaining compliance and safeguarding against fraud and abuse in today’s changing healthcare landscape can be challenging. Most healthcare organizations screen and monitor providers against the OIG but that’s only ONE of FACIS®’ primary sources. FACIS® pulls data for every taxonomy from the lowest level employee to the highest level licensed professional.

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Cigna is still interested in Medicare

Healthcare Dive

The health insurer sees Medicare Advantage as an area for future growth, despite selling the division for $3.7 billion earlier this week. Cigna’s CEO called the sale a “win-win” on a call with investors Friday.

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Industry Voices—Embracing the advantages of virtual care

Fierce Healthcare

The pandemic acted as a catalyst, propelling virtual care to the forefront of healthcare delivery. | The pandemic acted as a catalyst, propelling virtual care to the forefront of healthcare delivery.

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The Psychedelics Industry: Psychedelic Evangelism in Second Wave Research

Bill of Health

By Patric Plesa As interest in psychedelics research and popular psychedelics culture resurges, it is becoming progressively more difficult to discern facts from fantasy. As an academic with expertise in psychology, I too share in the growing enthusiasm for psychedelics research, especially toward therapeutic ends. But I believe a critical perspective, characterized by open science practices and critical theoretical lenses, is indispensable if this field is to avoid the errors of the past and th

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Talkspace, Bicycle Health partner to expand therapeutic offerings

Healthcare It News

Bicycle Health patients can connect to therapists outside the realm of opioid use disorder, and Talkspace patients will have access to opioid use disorder specialty care.

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How Embedded Analytics Gets You to Market Faster with a SAAS Offering

Start-ups & SMBs launching products quickly must bundle dashboards, reports, & self-service analytics into apps. Customers expect rapid value from your product (time-to-value), data security, and access to advanced capabilities. Traditional Business Intelligence (BI) tools can provide valuable data analysis capabilities, but they have a barrier to entry that can stop small and midsize businesses from capitalizing on them.

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Cigna sells Medicare businesses to HCSC for $3.7B

Healthcare Dive

With the deal, Cigna is exiting a sector that’s been a huge source of growth for insurers but has seen its earnings potential shrink.

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2024 Outlook: Data-Driven Approaches Are Key to Success

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Responses from Matthew Hawley, EVP, payment integrity, Cotiviti. Matthew Hawley leads operations and content development for Cotiviti’s prospective payment integrity and fraud, waste, and abuse solutions. He brings more than 30 years of healthcare experience […] The article 2024 Outlook: Data-Driven Approaches Are Key to Success appeared first on electronichealthreporter.com.

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Cigna inks deal to sell Medicare business to HCSC for $3.7B

Fierce Healthcare

Cigna will sell off its Medicare business to Health Care Service Corporation in a deal valued at $3.7 billion, the company announced Wednesday. | HCSC will acquire Cigna's Medicare Advantage, Part D, supplemental benefits and CareAllies businesses, and the parties expect the deal to close in the first quarter of 2025.

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How one triage center delivers more culturally sensitive mental health and addiction care

Healthcare It News

In the face of high addiction rates, mounting mental health crises, and daily reports of overdoses and suicides in the United States, a community triage center in Sioux Falls, South Dakota, has come up with a novel care approach that can be replicated around the world. The center, called The Link, provides 24/7 care and support for individuals struggling with mental health crises and addiction, with a patient population disproportionately represented by Native Americans and people of color.

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Ensure Continuous Patient Care: How to Avoid Disruptions Due to Ransomware

The industry has seen an increasing pace of ransomware, zero-day, and remote-code execution attacks. Learn how to defend against these against these attacks in this eBook.

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Providence erases or refunds $158M in medical bills

Healthcare Dive

The Renton, Washington-based nonprofit health system will refund millions to settle allegations it skirted charity care obligations between 2018 and 2023.

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Teaching Nursing Students to Think Clinically with Realistic Instructional Tools

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Tim Bristol, PhD, RN, CNE, ANEF, FAAN, director of strategic planning, NurseThink, Wolters Kluwer Health. The ever-worsening nursing shortage is taking the United States by storm, with nearly 800,000 nurses planning to leave their roles […] The article Teaching Nursing Students to Think Clinically with Realistic Instructional Tools appeared first on electronichealthreporter.com.

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Payers up against slight decline in 2025 Medicare Advantage payments

Fierce Healthcare

Medicare Advantage (MA) payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment. | Medicare Advantage payments are set to decrease yet again in 2025 as the feds phase in significant changes to risk adjustment.

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Security Breaches in Healthcare in 2023

HIPAA Journal

Report: Security Breaches in Healthcare (Direct Download PDF, 1.9MB, 16 pages) An unwanted record was set in 2023 with 725 large security breaches in healthcare reported to the Department of Health and Human Services (HHS) Office for Civil Rights (OCR), beating the record of 720 healthcare security breaches set the previous year. Aside from 2015, the number of reported security breaches in healthcare has increased every year although the rate of increase is slowing and 2024 could see the healthc

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Generative AI for Contracts Is Here: New Tools to Accelerate Drafting and Editing

The emergence of generative AI is reshaping the landscape of contract management, enabling businesses to generate and negotiate legal agreements with greater ease and speed. In this on-demand webinar, Hal Marcus, VP of Product Marketing at Evisort discusses how Evisort's generative AI transforms contract creation and negotiation, empowering legal teams to streamline processes while reducing risk.