Sat.Sep 23, 2023 - Fri.Sep 29, 2023

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4 Reasons Compliance Experts Feel FACIS is the Gold Standard

Verisys

The healthcare industry has rapidly evolved, and with that, the need for a reliable and comprehensive provider sanction and exclusion database became increasingly apparent. Verisys introduced the Fraud Abuse Control Information System (FACIS) to meet this growing need in 1993. Initially, FACIS aggregated data from licensing boards, the Office of Inspector General (OIG), and other select federal databases.

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Increasing Enforcement of Modifier Codes 

YouCompli

Two of the most significant healthcare compliance risks are medical coding and billing. Enforcement agencies like to “follow the money,” so to speak, and they often find it in medical claims submitted to government payors such as Medicare and Medicaid. This is why selecting appropriate medical codes is essential for operating and being reimbursed compliantly.

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Language Barriers: Protecting Your Organization From A Hidden HIPAA Threat

Healthcare IT Today

The following is a guest article by Bill Young, Director of Healthcare & Life Sciences at SYSTRAN Keeping patient data confidential and secure remains a major healthcare challenge today, more than 25 years after the introduction of the 1996 Health Insurance Portability & Accountability Act or HIPAA. HIPAA is regulatory guidance to ensure Patient Health Information (PHI) is protected in specific entities, mainly healthcare facilities, and healthcare admin support institutions, for the tra

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Healthcare Regulatory Compliance: Ensuring Quality & Safety

Compliancy Group

As the healthcare landscape continues to evolve, regulatory compliance has become a critical aspect of ensuring patient privacy, safety, and overall quality of care. Healthcare organizations and professionals must navigate complex regulations to comply with various legal requirements. Let’s look into the world of healthcare regulatory compliance, exploring its importance as well as the role of regulatory compliance software, consulting, and certification.

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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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L.A. Care to Pay $1.3 Million Settlement Over HIPAA Violations: What You Need to Know

HIPAA & Health IT

Disregard your Health Insurance Portability and Accountability Act obligations at your own risk. That’s the stark warning covered entities and business associates should take away from a recent settlement entered into by the nation’s largest publicly operated health plan and the U.S. Department of Health and Human Services’ Office for Civil Rights.

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McLaren investigating if PHI was leaked on dark web

Becker's Health IT

Grand Blanc, Mich.-based McLaren Health Care said it has experienced a ransomware attack shortly after a ransomware gang took credit for it, The Record reported Sept. 29.

More Trending

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Compliance Carl Celebrates National Compliance Officer Day

Healthicity

Compliance never takes a break – not even on National Compliance Officer Day. As Carl approached the cake he requested for the occasion, he couldn't help but feel a sense of duty, a commitment to upholding justice, even in the sweetest of moments. Carl wanted to make sure there were no non-compliant slices – bigger vs. smaller slices, pieces with more frosting than others, etc.

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SOC 2 Compliance: Ensuring Security and Trust

Compliancy Group

In today’s digital landscape, data security is of utmost importance. With the ever-increasing number of cyber threats, organizations must take proactive measures to protect sensitive information and maintain the trust of their customers. One such measure is SOC 2 compliance, a widely recognized standard that demonstrates an organization’s commitment to safeguarding data.

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Inside Kaiser Permanente’s labor relations breakdown

Healthcare Dive

Kaiser Permanente’s novel labor approach allowed for decades of stability, but over a dozen sources familiar with the situation said fractured relationships are straining current negotiations.

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On Searching for the Unknown with Unspeakable Names: Searching PubMed for Disability Research

Bill of Health

By P.F. Anderson and LaTeesa James PubMed special queries are master search strategies on common, important, but challenging health topics, which are usually peer-reviewed. Disability certainly qualifies as a common, important health topic that is challenging to search – and yet, no PubMed special query exists for it. This oversight is concerning. Put simply, it’s important that disability as a topic is easily identifiable in the scholarly record.

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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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At Baptist Health, patient engagement shown to be equivalent to adding a BP med

Healthcare It News

Kentucky ranks fifth in the U.S. for adults with hypertension, many of whose condition is not controlled. Untreated high blood pressure increases the risk of heart attack, stroke and other serious health problems. THE PROBLEM The traditional approach of seeing a patient in the office, prescribing medication, advising them on lifestyle changes to make, having them check their blood pressure at home and report back, has fallen short, said Dr.

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Advocate Health, Mount Sinai among 10 big health systems in Transcarent provider network

Healthcare IT News - Telehealth

The Transcarent platform integrates directly through the care pathway of each of the 10 health systems it is partnering with, including scheduling and pre- and post-care, support services and same-day payment for providers. WHY IT MATTERS Transcarent says the ecosystem will provide the employees of national self-insured employers with faster access to verified high-quality digital or in-person care, higher-quality care, and affordable and predictable costs with full transparency.

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Hospices bought by PE, public companies had more dementia patients, study finds

Healthcare Dive

Hospices acquired by private equity firms and publicly traded companies shift their operational strategies toward maximizing profits, the new study in JAMA Network Open suggests.

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Symposium Introduction: Addressing Technoableism: Reforming Infrastructure and Disability Representation

Bill of Health

By Ashley Shew Far too often, when people write and talk about technology and disability, stories are deeply shaped by ableism. Often when devices are painted as “solving the problem of disability” or “empowering disabled people,” they suggest that being disabled is itself a problem, and that people should try to be as nondisabled as possible. But pretending to be nondisabled is not a great way to live — to be in hiding or denial, to not give your body and mind the rest they deserve, to hurt you

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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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Most hospitals are not yet ready for LLM-based patient portals

Healthcare It News

Various capabilities have been incorporated into modern patient portals, including chatbots and digital twins, to maximise their potential for improving the patient experience. However, it may take a while for hospitals to apply the newer large language models to their patient portals. In the session " Patient portal integration for enhanced hospital operations ," Dr Roel Bolt, CMIO, Franciscus Hospital discussed the evolution and innovation of patient portals.

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How virtual care can help ease the rural mental health crisis

Healthcare IT News - Telehealth

The Southwest Rural Health Research Center has identified mental health concerns and addiction as the first and second most important priorities for rural health stakeholders, according to a May 2023 policy brief. With a chronic shortage of mental healthcare providers in rural areas, there is a significant lack of access to this much-needed care for those who reside there.

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CMMI increased federal spending by $5.4B during its first decade, report finds

Healthcare Dive

The Congressional Budget Office report estimated the Center for Medicare and Medicaid Innovation, which was created in part to reduce spending, will increase net federal spending by $1.3 billion from 2021 through 2030.

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On Siri and Recognitive Violence

Bill of Health

By Joshua A. Halstead As a disabled person who relies on speech recognition software to complete a range of daily writing tasks (from emails to book chapters), I am no stranger to the universe of voice assistants, having cut my teeth on Dragon Dictate in the ’90s. Though I’m used to the software knowing my voice, that it now knows my location is uncanny.

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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.

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How Catholic Medical Center achieved personalised care with big data, AI

Healthcare It News

Within two years of digital transformation, Catholic Medical Center, one of the largest medical institutions in South Korea, gained capabilities to provide personalised care powered by big data and AI. In-Young Choi, professor and head of the Catholic Information Convergence Institute at CMC, shared their journey in the session, " Personalised care with hospital big data and digital health technology.

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Group practice sees 6-8 more patients a day with hybrid virtual care

Healthcare IT News - Telehealth

Dr. Richard Tytus of Hamilton, Ontario, is a medical professional with extensive experience in delivering and promoting virtual healthcare. He has been providing telemedicine long before the COVID-19 pandemic. He is a clinic owner and part of a family health team of approximately 30 medical professionals and allied health workers. THE PROBLEM "My journey into telemedicine was sparked by a genuine concern for a subset of patients facing physical or psychological barriers to accessing healthc

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CVS hit with lawsuit from independent pharmacy over fees

Healthcare Dive

A small Iowa pharmacy is accusing CVS Caremark of forcing independent pharmacies to sign one-sided contracts in order to stay in its network and continue dispensing drugs for its millions of covered lives.

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Bridging the Therapeutic Divide: Age and Disability Discrimination in Tech-Based Health Settings

Bill of Health

By Chorong Park The intersection of ableism, ageism, technoableism , and metaeugenics reduce the accessibility and quality of health care for elders with disability experience. They struggle with health care technology that is not built with their user profile in mind. Similarly, assistive technologies are focused on “normalizing” them to “improve” their abilities.

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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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Women pay $15.4 billion more out of pocket for medical expenses

Healthcare It News

Employed women have as much as $15.4 billion more a year than men in out-of-pocket healthcare expenses, despite largely buying the same health insurance products, according to new findings published this week by Deloitte.

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Nurses Hacking for Health, Addressing Burnout, Workplace Violence, and AI

Health Populi

Three in four nurses working in hospitals care about the success of their institution — “they show up and gown up…yet only 57% feel a sense of ownership in their hospitals, leaving leaders to expect 100% quality to be delivered by about half of the nursing workforce.” This is the key finding in a study from PRC on the implications of nurses’ dis-engagement from their work.

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Nuance rolls out automated clinical documentation tool DAX Copilot

Healthcare Dive

The application, previously called DAX Express, drafts summaries of patient conversations “in seconds,” according to Microsoft-owned Nuance.

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A European Cancer Survivors’ Right to be Forgotten?

Bill of Health

By Hannah van Kolfschooten and Mirko Faccioli There are currently over 12 million cancer survivors in Europe. Due to improving cancer screening methods and medical treatment, this number is expected to grow every year. Former cancer patients often face multiple forms of discrimination throughout their lives. Many commercial companies make long-term cancer survivors “ pay twice ” – while having similar life expectancies as their peers, they are denied access to key services because of their forme

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Ensure Continuous Patient Care: How to Avoid Disruptions Due to Ransomware

The industry has seen an increasing pace of ransomware, zero-day, and remote-code execution attacks. Learn how to defend against these against these attacks in this eBook.

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APAC to double down on home hospitalisation, tech-enabled preventive care

Healthcare IT News - Telehealth

Home hospitalisation, tech-enabled preventive care, and genomic data-driven personalised care are some of the emerging trends in care in the Asia-Pacific region. Dr Deok-Hyun Han, Vice CMIO of Samsung Medical Center, Oscar Lee, professor and vice superintendent of China Medical University Hospital, Low Cheng Ooi, associate professor and CTO of Sheares Healthcare, and Dr Mohammad Adib Khumaidi, president of the Indonesian Medical Association, sat together in the closing panel discussion " Th

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How Amazon's $4B investment in AI company Anthropic impacts healthcare

Fierce Healthcare

Amazon announced this week that it would invest up to $4 billion in artificial intelligence company Anthropic as the AI arms race heats up. | Amazon announced this week that it would invest up to $4 billion in artificial intelligence company Anthropic as the AI arms race heats up. The collaboration introduces more competition and more options for healthcare teams looking to innovate using different approaches or to get more tactical with their AI strategy, one health IT expert said.

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Centene lays off 3% of workforce

Healthcare Dive

The insurer has been struggling with headwinds from Medicaid redeterminations and MA star ratings. The layoffs follow similar workforce reductions at CVS Health earlier this summer.

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Caring for Patients with Serious Illness: Insights from Kristofer Smith

Bill of Health

Kristofer Smith, MD, MPP is the Chief Medical Officer of Landmark Heath, where he oversees efforts to establish a high-quality and clinically effective home-based medical care model for patients with serious illness. We sat down with Dr. Smith to discuss his experience caring for patients with serious illness and developing programs to provide health care at home, among other topics.

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Generative AI for Contracts Is Here: New Tools to Accelerate Drafting and Editing

The emergence of generative AI is reshaping the landscape of contract management, enabling businesses to generate and negotiate legal agreements with greater ease and speed. In this on-demand webinar, Hal Marcus, VP of Product Marketing at Evisort discusses how Evisort's generative AI transforms contract creation and negotiation, empowering legal teams to streamline processes while reducing risk.