Wed.May 31, 2023

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Understanding Primary Care CPT Codes

Medisys Compliance

Understanding Primary Care CPT Codes Navigating the world of medical billing codes can be overwhelming, especially for those in the primary care field. There are several primary care Current Procedural Terminology (CPT) codes used to describe the various services and procedures offered to patients. These codes are crucial for billing and reimbursement purposes, and understanding them is vital for the success of any medical practice.

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Members’ satisfaction with commercial health plans declines

Healthcare Dive

A J.D. Power study found overall satisfaction with commercial health plans fell, with sicker members less likely to receive outreach and care coordination.

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AMA and others launch collective call for health equity in Rise to Health

Healthcare It News

On Tuesday, the American Medical Association, the Institute for Healthcare Improvement (IHI) and Race Forward officially launched Rise to Health, a call to action for providers, payers, pharma and professional societies to make health equity a priority. Rise to Health will have enforcement teeth in the form of establishing a set of measures across numerous participants.

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Advocate Health reports 0.1% operating margin in inaugural Q1 earnings

Healthcare Dive

The nonprofit giant formed in December barely made it into the black, after revenue of $7.54 billion squeaked past expenses of $7.53 billion.

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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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Primary care practices identify needed improvements for telemedicine

Healthcare IT News - Telehealth

Qualitative data provided by 87 primary care practices in New York and Florida showed that while telehealth experiences differed on the basis of pre-pandemic clinician and practice familiarity with virtual care platforms, varying state regulations during the public health emergency, the lack of formal guidelines and physician burnout affected how quickly telemedicine offerings matured within practices.

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Audit Manager Return on Investment

MRO Compliance

Audit Manager Return on Investment Over the past few years, the number of government and commercial audits has skyrocketed, and hospitals are struggling to keep up with the influx of requests for documentation, denials, and downstream appeals. For a decentralized hospital system, there is often a lag time before the ADR even reaches the compliance and audit department.

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Healthcare Has A Data Resolution Problem

Healthcare IT Today

According to Charlie Harp, CEO of Clinical Architecture , even if we solve the interoperability challenge in healthcare, we will still have to work to refine the data to make it useful. The quality of that data needs to be improved and the resolution of the picture it paints of a patient needs to increase. The latter is a hidden challenge that healthcare organizations are not paying enough attention to.

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Telemedicine and RPM transform care delivery in Alabama, racking up wins

Healthcare IT News - Telehealth

When the University of Alabama at Birmingham health system created a telehealth program, the main problem it was trying to solve was how to improve access to care across the state. THE PROBLEM Alabama has some of the worst healthcare outcomes in the country. Telehealth technologies were adopted to eliminate the geographic excuse for these outcomes and start to address the issues, said Dr.

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Missouri nonprofit health systems BJC HealthCare, Saint Luke's targeting $10B merger

Fierce Healthcare

BJC HealthCare of St. | The two organizations are hoping to close their cross-market deal by the end of the year, potentially creating a new 28-hospital, integrated, academic health system.

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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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ChatGPT Misses the Mark in Healthcare – What It Needs to Succeed

Healthcare IT Today

The following is a guest article by Michael Blum, MD, Cardiologist, Co-founder and CEO at BeeKeeperAI and Former Chief Medical Information Officer at UCSF Medical Center The advent of OpenAI’s ChatGPT3 (GPT3) Artificial Intelligence (AI)-powered chatbot sparked an unprecedented societal appreciation for the power of AI. While AI has been broadly deployed across industries for a decade, it remained mostly hidden from the typical user.

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Employers hope to weather inflation without shifting healthcare costs to workers: survey

Fierce Healthcare

Employers are bracing for 2024, fearing they’ll face inflation and soaring healthcare costs while still trying to recruit and retain workers in a tight labor market, a new survey shows. | Employers got something of a break last year from inflation when it comes to healthcare costs because most contracts with providers last three years. A survey by the consulting company Mercer says they won’t be so lucky in 2024.

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The Evolution of Electronic Health Records: Overcoming Obstacles and Future Challenges

Electronic Health Reporter

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Electronic health records (EHRs) have revolutionized the healthcare industry, streamlining patient care, improving efficiency, and enhancing communication among healthcare providers. Here, we explore the history of EHRs, highlighting the obstacles overcome throughout their development and […] The article The Evolution of Electronic Health Records: Overcoming Obstacles and Future Challenges a

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Patients, providers still see many pain points with 'digital front door' and care access, survey finds

Fierce Healthcare

Despite the increased adoption of digital health tools and telehealth in the past three years, patients and providers see the "digital front door" as still being a less-than-ideal entry point into | More than a quarter of patients believe the payment experience has gotten worse. Four in 10 patients said they’re likely to cancel or postpone care without an accurate cost estimate.

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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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Healthcare Software Investment: 5 Questions for Hospital C-Suite

HIT Consultant

Brian Fugere, Chief Product Officer at symplr As hospitals and health systems continue to be stretched thin by negative operating margins , competitive pressures, and workforce shortages, decision-makers must do more with less and make strategic software investments to reduce costs and increase efficiencies in both the short and long term. Decision-makers agree that now is not the time to pull back on software investment: according to research from Bain & Company , 45% of providers have incr

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Hospital operating margins break even in April, though Medicaid redeterminations are looming

Fierce Healthcare

Hospitals’ year-to-date operations broke even in April, though a rise in bad debt and a dip in volumes suggest the upward momentum will likely be short-lived, healthcare consulting firm Kaufman Hal | Kaufman Hall's latest monthly industry report showed a 0% year-to-date median operating margin across the hospital industry as well as signs of bad debt and charity care beginning to pick up as states begin paring their Medicaid populations.

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Senators Demand Answers from Google About Sensitive Location Data Deletion Practices

HIPAA Journal

A group of 10 Senators has written to Google demanding answers about its policies for deleting sensitive location data, such as visits to abortion clinics, fertility centers, domestic violence shelters, addiction treatment facilities, and other sensitive locations. Following the decision of the Supreme Court that overturned Roe v Wade and removed the federal right to abortion, Google announced that it would be introducing a new data deletion policy and would be deleting precise geolocation data

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Walmart rolling out new training program for vision center staff

Fierce Healthcare

BENTONVILLE, Arkansas—Retail giant Walmart will roll out a new program that aims to assist employees of its vision centers in advancing their careers. | Retail giant Walmart will roll out a new program that aims to assist employees of its vision centers in advancing their careers.

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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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Lilli partner with Nourish to deliver data-driven falls prevention 

Digital Health News

Lilli, a company using machine learning (ML) to revolutionise home care, has announced a partnership with digital care management provider Nourish Care.

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GE HealthCare receives FDA 510(k) for deep learning software

Mobi Health News

The company's Precision DL speeds up screening time, enhances the image quality of PET/CT scans and improves small lesion detection.

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NHS could take action against trusts for Facebook breach – spokesman

Digital Health News

NHS England is investigating the transfer of private patient information from 20 trusts to Facebook and could take further action, a spokesman said.

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What $31,065 Can Buy You: a Toyota Corolla Cross Hybrid, a Year at Gnomon School, or Healthcare for a Family of 4 in America

Health Populi

“Healthcare costs came roaring back in 2021” after falling in 2020. In 2023, that roaring growth in health care costs continues with expected growth of 5.6%. For 2023, you could take your $31K+ and buy a Toyota Corolla Cross Hybrid auto, fund a year at the Gnomon School in Hollywood toward a degree in animation or game design, or buy healthcare for your family of 4.

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Embedding BI: Architectural Considerations and Technical Requirements

While data platforms, artificial intelligence (AI), machine learning (ML), and programming platforms have evolved to leverage big data and streaming data, the front-end user experience has not kept up. Holding onto old BI technology while everything else moves forward is holding back organizations. Traditional Business Intelligence (BI) aren’t built for modern data platforms and don’t work on modern architectures.

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Pictura Bio receives funding for AI disease testing platform for military use

Digital Health News

Pictura Bio has announced that it has been awarded funding to develop a prototype of its AI-powered disease testing platform for use in military settings.

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Kaiser Permanente pledges up to $10M to struggling Colorado safety net system

Fierce Healthcare

Kaiser Permanente opened its wallet for a $10 million commitment to support a financially struggling Colorado safety net system, according to a Tuesday announcement. | Denver Health, which cares for a third of the city's residents, has faced rising expenses and an influx of patients in need of charity care.

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GPT enabled conversational AI provider Hyro garners $20M

Mobi Health News

Hyro will use the funds to expand its workforce, grow strategic partners and further build its platform.

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MCNA Notifies 8.9M Individuals of Healthcare Data Breach

Health IT Security

MCNA Dental, a Medicaid and… read more

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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.