January, 2025

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Why Investing in Internal Auditing Tools is Key to Reducing Coding Risks and Financial Losses

MRO Compliance

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

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Boston Children's brings engineering precision to pediatric heart surgery

Healthcare It News

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

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Telemedicine racks up big cost savings and enhanced care for Nebraska hospital

Healthcare IT News - Telehealth

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.

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Fighting Wildfires with Chemicals: The Controversy and Danger of Flame Retardant Materials

Bill of Health

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.

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Simplify Screening for Excluded Providers

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.

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How MetroHealth broke free of its imaging data silos

Healthcare It News

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.

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RFK Jr. appears confused about Medicaid, Medicare during confirmation hearing

Healthcare Dive

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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Understanding the Top Cybersecurity Threats to Healthcare Organizations

Healthcare IT Today

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.

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VA prescribers exempt from DEA's special telehealth registration

Healthcare IT News - Telehealth

For veterans that have had an in-person visit with Veterans Affairs' providers, the Drug Enforcement Administration is extending those provider-patient relationships to all VA practitioners engaging in telemedicine with the patient, DEA said in a statement Friday. Jointly released with the Department of Justice, the Substance Abuse and Mental Health Services Administration and the Department of Health and Human Services, the new final rule says VA telehealth prescribers do not have to take p

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Chief among the questions raised by Monday's ambiguous memo are whether programs like Medicaid and SNAP as well as funding for clinical research, community health centers, suicide prevention and state infectious disease surveillance will see interruptions due to the pause.

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Even modest meds adherence can be financially transformative for health systems

Healthcare It News

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.

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Healthcare Vendor Risk Management: Strategies for Protected Data

In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.

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Top healthcare technology trends in 2025

Healthcare Dive

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.

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Navigating QPP Reporting in 2025: Finding the Best Path for Your ACO

MRO Compliance

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.

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De-escalation Strategies in Healthcare: A Comprehensive Approach to Ensuring Safety and Support

HIT Consultant

Andrea Greco, SVP of Healthcare Safety, CENTEGIX Jennifer Schmitz, MSN, EMT-P, CEN, CPEN, FNP-C, NE-BC, VP of Client Engagement, Engage, powered by the ENA De-escalation is a critical skill in healthcare, particularly in environments where emotions run high, and patients and their families may be under significant stress. Effective de-escalation requires not only the ability to manage conflict but also an understanding of human emotions, empathy, and a well-practiced response to high-tension sit

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What to expect in Asia-Pacific health IT in 2025?

Healthcare IT News - Telehealth

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.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

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.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Change Healthcare now estimates that 190 million people were impacted in the massive cyberattack that took down its services nearly a year ago. | Change Healthcare now estimates that 190 million people were impacted in the massive cyberattack that took down its services nearly a year ago.

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In 2025, look for more digital-first patient engagement and data-driven decisions

Healthcare It News

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.

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Private equity firms got rich while shirking obligations to hospitals, Senate report finds

Healthcare Dive

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.

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MRO Starts 2025 Strong with Top CEO Award, Major Client Wins, and Record-Breaking Growth

MRO Compliance

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.

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The Evolution of Communication in Healthcare Settings

Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.

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Beyond Patching: Securing Medical Devices Postmarket

Healthcare IT Today

The following is a guest article by Joseph M. Saunders, Founder and CEO at RunSafe Security Modern healthcare settings are full of devices that use software to manage and improve patient care, from MRI machines to CT scanners to infusion pumps. Healthcare providers rely on medical device manufacturers to deliver secure and effective software upfront, but securing software once these devices are already in the field is another challenge altogether.

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Remote patient monitoring will boost CHF and GLP-1 care in 2025

Healthcare IT News - Telehealth

The promise of remote patient monitoring is showing itself in more and more telemedicine use cases, with huge potential for day-to-day wellness, management of chronic conditions and the promotion of health equity. Oren Nissim is CEO and cofounder of Brook Health, a care management company that uses telehealth and artificial intelligence for home-based care.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Prime Therapeutics, a PBM owned by Blue Cross plans, violated federal and state antitrust laws through a collaboration with Express Scripts and must pay AIDS Healthcare Foundation more than $10 million, an arbitrator ruled.

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7 tips to prepare your healthcare organization for AI in 2025

Healthcare It News

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.

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3 Reasons to Retire Pagers from Healthcare Settings

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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Investors ask UnitedHealth for answers about delayed, denied care

Healthcare Dive

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.

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The MRO Exchange: University Health Kansas City’s RCM Journey with Seth Katz

MRO Compliance

Healthcare NOW Radio Podcast Network MRO Exchange: University Health Kansas City's RCM journey with Seth Katz S2E1: Host Matt Wildman, MRO’s Chief Commercial Officer, interviews Seth Katz, University Health Kansas City’s VP of Revenue Cycle and HIM. They discuss University Health KC’s journey to a new release of information vendor.

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AI in Healthcare: Enhancing the Patient Experience with Compassionate, Secure Virtual Agents

HIT Consultant

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.

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Apollo Hospitals to integrate AI copilots and more AI briefs

Healthcare IT News - Telehealth

Apollo Hospitals to adopt AI copilots from Microsoft Apollo Hospitals will be adopting four AI copilots as part of its new collaboration with Microsoft. In a statement, the technology giant said it will help the hospital group develop and implement its AI roadmap, which will focus on expanding Apollo's remote healthcare platform worldwide and building new technology solutions.

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15 Modern Use Cases for Enterprise Business Intelligence

Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Mimicking prior federal and state investigations into drug manufacturers, health insurer Aetna is suing in Connecticut for rigging the generic drug market.

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Truveta and 30 health systems increase genomic sequencing goal

Healthcare It News

Dozens of health systems representing millions of patients across the United States are collaborating with the Truveta Genome Project, Regeneron Genetics Center and genomic sequencing company Illumina to sequence the exomes of their first ten million volunteers. As part of what may be the largest and most diverse sequencing project of genotypic and phenotypic information ever assembled, the health systems said in Truveta's announcement Monday that their collaboration would aid in the develop

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DOJ sues Walgreens for allegedly filling millions of illegal prescriptions, including opioids

Healthcare Dive

Walgreens countersued the government the same day. Analysts said a settlement is likely.

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The MRO Exchange: Automated Record Retrieval w/ CHRISTUS Health’s RCS Director, Prudence Budemer

MRO Compliance

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

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven