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Telehealth Bolsters Patient Satisfaction (J.D. Power), and Providers Are Working to Catch Up (BDO)

Health Populi

Another 2 in 5 say they are leveraging the full capabilities of virtual care along the patient journey, as well as ensure security, privacy and compliance in their communication channels. The post Telehealth Bolsters Patient Satisfaction (J.D.

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These are the compliance issues providers should be preparing for, post-PHE

Healthcare IT News - Telehealth

based attorney in the health law practice of Baker, Donelson, Bearman, Caldwell & Berkowitz about what providers should be doing to ensure compliance when the PHE finally sunsets. What do you see as the primary compliance issues providers will have to contend with? If Medicare coverage requirements for telehealth services (e.g.,

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Uncovering the True Cost of Wound Care Billing

Medisys Compliance

Audits: Increased scrutiny from Medicare and Medicaid for potential coding discrepancies. Documentation Burden Detailed documentation is crucial for supporting claims and ensuring compliance with regulations. Regulatory Landscape Medicare and Medicaid regulations change frequently, demanding constant adaptation.

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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes.

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Avoiding Red Flags: Finding the Right Productivity Balance

Healthcare IT Today

After all, more patients should generate more billable services—and thus, more payments. But as organizations balance productivity goals with payer policies, sometimes their version of “enough” patient volume is actually too much. The number of Medicare TPEs and commercial payer take-back audits alone is skyrocketing.

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What is GRC in Healthcare?

Verisys

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. Can I minimize risk of non-compliance with laws & regulations in healthcare?

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5 Trends to Look for in Healthcare Cost Transparency

HIT Consultant

Unfortunately, America still struggles with high, painfully opaque pricing across healthcare that hurts employers, workers, patients, and taxpayers. The Centers for Medicare and Medicaid Services recently announced that in 2021, the nation spent $4.3 This suggests little recourse for inaction. These trends are not new in 2023.