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As the healthcare industry faces increased scrutiny, especially in medical coding accuracy and regulatory compliance, recent surveys reveal that many professionals are concerned with issues like upcoding, audit discrepancies, and the integration of artificial intelligence in coding practices. According to a Black Book survey , 90% of HIM professionals believe that upcoding is a significant ethical concern, while 85% say that discrepancies identified during coding audits often lead to denied clai
By using computational fluid dynamics software and other modeling techniques for complex congenital heart disease patients, Boston Children's Hospital's pediatric cardiology team said it now better understands flow balance and characteristics in preoperative planning and is improving surgical decision-making and patient outcomes. Turning to CFD for decision support As a parent, when finding out your child's heart does not work perfectly, you turn to the most gifted surgeons you can f
Chase County Community Hospital has faced a number of challenges similar to those confronted by many other rural health systems. Chief among them was a growing shortage of physicians, a problem projected to worsen in the coming years. THE CHALLENGE Chase is a 15-bed critical access hospital in Imperial, Nebraska. Like many rural healthcare organizations, the facility relies heavily on advanced practice providers – nurse practitioners and physician associates.
Environment Fighting Wildfires with Chemicals: The Controversy and Danger of Flame Retardant Materials For the past week, I have watched my beloved city of Los Angeles become engulfed in flames. My heart aches knowing that the places I once lovedthe Will Rogers beach house, the Palisades lookout, and a drive up the Pacific Coast Highwaywill never be the same.
Discover everything healthcare providers need to know about secure messaging. Covering essential topics like HIPAA compliance, communication efficiency, and patient privacy protection, this resource is indispensable for professionals, caregivers, and administrative staff alike.📱 💬 Whether managing sensitive patient data, coordinating care teams, or streamlining workflows, discover actionable insights to implement secure messaging solutions effectively.
In a complex, multimodal imaging environment, with radiology and other images and reports scattered across any number of PACS systems and electronic health records, clinical and technology leaders at Cleveland-based MetroHealth had one "guiding North Star," says Dr. David Kaelber, the health system's chief health informatics officer and VP of patient engagement technologies.
Robert F. Kennedy Jr. incorrectly said that Medicaid was fully funded by the federal government and that Medicare is a fee-for-service program during a hearing in front of the Senate Finance Committee on Wednesday.
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Robert F. Kennedy Jr. incorrectly said that Medicaid was fully funded by the federal government and that Medicare is a fee-for-service program during a hearing in front of the Senate Finance Committee on Wednesday.
The secure exchange of sensitive patient data is a top priority for healthcare organizations. 2024 exposed healthcares privacy and security vulnerabilities with three of the nations largest data breaches to date: Change Healthcare, Ascension and Kaiser Permanente. And last year, patient safety and quality ranked 5.9 out of 11 in the list of health system executives concerns.
The following is a guest article by Ty Greenhalgh, Industry Principal of Healthcare at Claroty Cybersecurity in the healthcare sector faces persistent challenges despite increasing awareness and the implementation of targeted guidance, such as the HHS Healthcare and Public Health (HPH) Cybersecurity Performance Goals (CPGs) , which are nearing their one-year mark.
The U.S. Department of Health and Human Services has issued its HHS Artificial Intelligence Strategic Plan , which the agency says will "set in motion a coordinated public-private approach to improving the quality, safety, efficiency, accessibility, equitability and outcomes in health and human services through the innovative, safe, and responsible use of AI.
Frank Fawzi, IntelePeer CEO In todays digital-first world, AI-powered automation is redefining how we approach both customer and healthcare patient experiences. While AI has already made its mark across industries, its application in healthcare introduces a unique opportunity to enhance patient experience (PX) at a time when the industry is grappling with unprecedented challenges, including staffing shortages and increased demand.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
As the healthcare industry faces growing patient demand , artificial intelligence (AI) and automation are giving hospitals and health systems the opportunity to rethink how they deliver care. However, many organizations struggle with where and how to deploy these technologies. “AI is not a hammer looking for a nail,” emphasized Dave Henriksen, Head of Value Based Care at Notable.
The year-long inquiry into hospitals managed by Apollo Global Management and Leonard Green & Partners comes amid growing calls for increased oversight of private equity in healthcare.
Mandatory Alternative Payment Model Performance Pathway (APP) reporting begins this year, bringing significant changes for Accountable Care Organizations (ACOs). As we move into this new reporting era, the question isnt whether to act but how to act effectively. Choosing the right reporting method is critical to ensure compliance and maximize your ACOs return.
The Company Comes Out of Stealth with $5M and in Collaboration with 25+ Partners to Support Transparent and Accessible Data Analytics Tuva Health , the world’s first open-source healthcare data transformation platform, launched out of stealth today with $5M in seed funding. The company offers payers, providers, and pharmaceutical companies the ability to transform claims and EHR datasets into analytics-ready data tables via an open-source data model with built-in normalization, data qualit
Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.
Clinical documentation requirements can be copious and time-consuming. While concurrent documentation is taught and encouraged, it is a skill that takes time to master – and even when done well can cause a clinician to feel or appear distracted during a patient visit. THE CHALLENGE Trying to actively listen and provide quality care while having to focus on recording accurate and complete details of a conversation in a note can be challenging even for an experienced therapist.
A 2023 systematic review published in BMC Nursing revealed a strong connection between clinical nurse competence and patient safety culture, underscoring the transformative impact of comprehensive training on nursing skills. Restorative nursing stands as a cornerstone of healthcare, dedicated to enhancing patients’ quality of life by helping them regain or maintain their highest levels of function and independence.
Hospitals and health systems have been discussing digital-first patient engagement for a while now, but fewer organizations than you might think have made huge strides forward on that front. Likewise, data-driven decision-making is a phrase that's been tossed around quite a bit in healthcare, but in many cases it's a dream that's yet to become reality.
Experts say the future of AI regulation is uncertain in 2025 with a new presidential administration. Also this year, organizations will continue to bolster their cyber defenses to withstand increasing attacks.
Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.
NORRISTOWN, Pa. January 15, 2025 MRO Corp. (MRO), the leading clinical data exchange company in healthcare, is pleased to announce its CEO, Jason Brown, was named one of The Top 50 Healthcare Technology CEOs of 2024 , following several years of client expansion and growth. This years Top CEO list features individuals whose leadership has been a driving force behind some of the most significant advancements in healthcare.
Healthcare is the last bastion for many technologies of yesteryear. Fax machines, pagers, compact discs (CDs), clipboards, printed educational materials, and only offering a phone number to book an appointment remain prevalent in healthcare despite having been all but phased out in other industries. Many of the speakers at conferences last year pleaded with audiences to put more effort into adopting modern approaches to better solve healthcares challenges like patient experience, interoperabili
The past year saw varying levels of digital transformations going around the health systems in Asia-Pacific. It has increasingly become evident that digitalisation – from nationwide networks down to individual hospitals – has become the rule in a post-pandemic world. AI and virtual care models continued to be the craze in healthcare, owing to their clear support for improving clinician productivity and patient outcomes.
Nursing homes should serve as sanctuaries of care, compassion, and safety for the elderly and vulnerable. Yet, abuse within these settings remains a pervasive and often hidden crisis, impacting countless individuals worldwide. Alarmingly, approximately 1 in 6 individuals aged 60 or older have experienced some form of abuse in community settings, including nursing homes, according to the World Health Organization (WHO).
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.
As healthcare continues to advance with accountable care organizations and value-based care models, the industry is starting to see some real traction after a decade of groundwork in the form of CMS claims for the Medicare Shared Savings Program. There are some critical elements driving success here. The role of medication adherence and patient engagement are pivotal factors for continuing to achieve ACO and VBC goals.
On Wednesday, a faith-based group of investors requested UnitedHealth prepare a report looking into how its practices could be leading to “delay or abandonment of medical treatment and serious adverse events for patients.
Healthcare NOW Radio Podcast Network MRO Exchange: Automated record retrieval w/ CHRISTUS Health's RCS Director, Prudence Budemer S2E2: Host Anthony Murray, MRO’s Chief Interoperability Officer, discusses automated record retrieval with CHRISTUS Health’s Revenue Cycle Services Director, Prudence Budemer. Together they dive into how CHRISTUS and MRO are utilizing FHIR to facilitate the retrieval of medical records required for specific use cases while maintaining the integrity of
Proposed Changes Require Strong Cybersecurity The newly proposed changes to the 2013 HIPAA Security Rule published yesterday in the U.S. Federal Register include strict cybersecurity requirements that leave little wiggle room for healthcare providers, health plans, and their business associates to avoid implementing strong cybersecurity practices, including validation that their business partners also meet their HIPAA requirements.
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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