AIHC

JUNE 6, 2023

However, they are notoriously bad at context and nuance – two things critical for safe and effective patient care, which requires the implementation of medical knowledge, concepts, and principles in real-world settings.” Can AI Streamline Medical Coding & Billing Functions?

Compliance 52

Compliance Medical Billing HIPAA Due Diligence 52

Compliancy Group

FEBRUARY 7, 2024

CMS UPIC audits are designed to identify and prevent fraud, waste, and abuse within Medicare and Medicaid, ensuring that federal funds are used appropriately and that the services billed for are actually provided and are medically necessary. Who Should Be Concerned About CMS UPIC Audits?

Fraud 52

Fraud Compliance Medicare Medicare 52

Healthcare IT Today

JUNE 29, 2023

The following is a guest article by Isaac Smith, Billing, Coding, and Reimbursement Specialist at Medcare MSO ASCs are types of medical facilities that are subject to stringent regulations. However, ASC billing practices must be followed to ensure proper reimbursement and regulatory compliance.

Compliance 52

Compliance Medicare Medicare Medical Billing 52

AIHC

MAY 31, 2022

health care system relies heavily on third-party payers to pay the majority of medical bills on behalf of patients. Health care insurance fraud is a pressing problem, causing substantial and increasing costs in medical insurance programs. First, remember that anyone can commit health care fraud.

Fraud 52

Fraud Compliance Officers Compliance Medicare 52

Physician Credentialing Company

JULY 15, 2024

This involves checking education, training, licensure, and professional experience to ensure compliance with legal and professional standards. It not only supports compliance with regulations but also enhances the credibility of healthcare facilities. This process reduces the risk of fraud and ensures accuracy.

Malpractice 52

Malpractice Compliance Licensing Medical Billing 52

Healthcare IT Today

JULY 30, 2024

Revenue Cycle Management (RCM): The Strongest Use Case of GenAI in Healthcare The financial backbone of healthcare, RCM, entails everything from payments and pre-authorization before treatment to reimbursements, compliances, and interoperability with other systems.

Patient Satisfaction 115

Patient Satisfaction Healthcare information Technology Medical Billing Fraud 115

Medisys Compliance

JULY 13, 2022

According to a recent survey by AKASA, more than 57 percent of healthcare practices and hospitals have more than 100 open roles to fill, with one in four finance leaders needing to hire more than 20-plus employees to fully staff their revenue cycle departments. Billing companies provide you flexibility of adjusting your workload.

Medical Billing 52

Medical Billing Medical Billing Outsourcing COVID-19 Fraud 52

YouCompli

OCTOBER 17, 2023

In part, the statement said the practice “…cooperated completely with the investigation, which involved examining the billing company that was responsible for their medical coding and billing…Unfortunately, medical billing is so complicated that physicians must rely on their medical billers to accurately reflect and bill for their services.”

COVID-19 52

COVID-19 Compliance Fraud Doctors 52

AIHC

MAY 30, 2024

This information is an overview of very basic suggestions on Standard Operating Procedures (SOP), Policies and Best Practices for smaller hospitals and provider organizations. Compliance and Risk Management : Fraud Detection : AI systems can identify unusual patterns that may indicate fraudulent activities. Return-to-Provider 5.1

Compliance 52

Compliance HIPAA Regulatory Compliance Medical Billing 52

MedTrainer

AUGUST 8, 2022

Once the validity of a physician has been checked, hospitals will know that the candidate has the right experience to perform in their position. . Should a hospital hire an inexperienced or excluded individual, they place the wellbeing of their patients in jeopardy, and put their institution at risk for being non-compliant.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

MedTrainer

FEBRUARY 13, 2022

Once the validity of a physician has been checked, hospitals will know that the candidate has the right experience to perform in their position. . Should a hospital hire an inexperienced or excluded individual, they place the wellbeing of their patients in jeopardy, and put their institution at risk for being non-compliant.

US Department of Health and Human Services 40

US Department of Health and Human Services Medical Billing Hospitals Compliance 40

Healthcare IT Today

SEPTEMBER 19, 2023

Eden Avraham-Katz, VP of Legal & Compliance at 1upHealth While I appreciate the efforts to simplify the prior authorization process with FHIR APIs, the underlying issues with prior authorization are fundamentally systemic. For first responders, access to medication history is often denied altogether.

Hospitals 136

Hospitals HIPAA Nurses Governance 136

Hall Render

MAY 19, 2023

Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4 Supplemental Grant for Rural Health Programs UAMS to Study Affordable Care Act’s Impact on Breast Cancer Treatment Arkansas Children’s Hospital Auxiliary Donates $1.4

COVID-19 40

COVID-19 Nurses Hospitals Nursing Homes 40

Hall Render

MARCH 3, 2023

NATIONAL 14 rural senators push CMS to extend low-wage hospitals’ payment bump in FY2024 American Hospital Association voices support for telehealth expansion bill Behavioral health market to hit $262B by 2029 Biden administration moves to establish ‘guardrails’ for telehealth prescriptions CMS Officials Confirm End of PHE Nursing (..)

Nursing Homes 40

Nursing Homes COVID-19 Nurses Hospitals 40

MedTrainer

JULY 21, 2022

However, unauthorized access is causing more than just identity fraud. The surge of patients because of the Covid-19 pandemic resulted in an abundance of electronic patient data, making hospitals a juicy target for malicious hackers. The breach affected physical therapists, gynecologists, and other medical professionals.

US Department of Health and Human Services 52

US Department of Health and Human Services HIPAA COVID-19 Compliance Officers 52

Hall Render

AUGUST 19, 2022

Ambulatory surgery centers compete with hospitals for outpatient dollars. CDC to regain control of hospital pandemic data despite criticism. CISA warns of ransomware threat targeting healthcare, medical organizations. CISA warns of ransomware threat targeting healthcare, medical organizations. WHO to rename monkeypox.

COVID-19 40

COVID-19 Nursing Homes US Department of Health and Human Services Nurses 40

Hall Render

FEBRUARY 18, 2022

48 hospitals on Forbes’ list of best employers. Hospitals plead with Congress to tackle workforce shortages. Hospitals urge HHS to fix, not end, direct contracting model. Only 14% of Hospitals Met Price Transparency Rule Compliance. Only 14% of Hospitals Met Price Transparency Rule Compliance.

COVID-19 40

COVID-19 Nursing Homes Nurses COVID-19 Vaccine 40

Hall Render

MARCH 8, 2024

NATIONAL 34.5% NATIONAL 34.5% NATIONAL 34.5% of Health Services announces first-ever chief heat officer Valley exec on track to raise $2B for pediatric health system Gov. of Health Services announces first-ever chief heat officer Valley exec on track to raise $2B for pediatric health system Gov.

Nursing Homes 40

Nursing Homes Nurses Hospitals COVID-19 40

Hall Render

OCTOBER 20, 2023

behavioral health initiative CHI St.

COVID-19 Vaccine 40

COVID-19 Vaccine COVID-19 Nursing Homes Nurses 40

Hall Render

FEBRUARY 16, 2024

CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert. CALIFORNIA 8 ASCs opening in Florida, California and New York A bankrupt California hospital left a health care desert.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Nurses Hospitals 40

Hall Render

AUGUST 16, 2024

Luke’s Behavioral Health ARKANSAS LaDonna Johnston Named CEO of Unity Health Update: Hearing to Approve Sale of Wadley Regional Medical Center Rescheduled How Arkansas Children’s is diversifying its workforce Sale hearing for Steward Health, Debtors’ Hospitals in Louisiana and Arkansas moved to Aug.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Hospitals Nurses 40

Hall Render

AUGUST 16, 2024

Luke’s Behavioral Health ARKANSAS LaDonna Johnston Named CEO of Unity Health Update: Hearing to Approve Sale of Wadley Regional Medical Center Rescheduled How Arkansas Children’s is diversifying its workforce Sale hearing for Steward Health, Debtors’ Hospitals in Louisiana and Arkansas moved to Aug.

US Department of Health and Human Services 40

US Department of Health and Human Services Nursing Homes Hospitals Nurses 40