MRO Compliance

JANUARY 7, 2025

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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US Department of Health and Human Services Compliance Regulatory Compliance Fraud 173

Healthcare It News

JANUARY 9, 2025

Most people wouldn’t answer their doors without knowing who was on the other side; however, every day, healthcare organizations expect patients to answer their calls without proof that it’s actually the organization calling. And with outbound call fraud such as caller ID spoofing and phishing attacks on the rise, providers can suffer serious reputational damage if patients fall victim to scam callers claiming to be from their organization.

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Fraud 211

Healthcare IT News - Telehealth

JANUARY 8, 2025

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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Telemedicine Governance Health Outcomes Hospitals 159

Healthcare Dive

JANUARY 8, 2025

The rule will remove an estimated $49 billion in medical bills from about 15 million Americans' credit reports and bars lenders from using medical information in their lending decisions.

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Medical Billing 301

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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.

Medicare

Electronic Health Reporter

JANUARY 5, 2025

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Andrew Mignatti, co-founder and CEO, Careviso. Healthcare access in the United States remains fraught with barriers, none as pervasive as the issues surrounding prior authorizations (PAs). Originally designed as a mechanism to ensure that […] The article The Hidden Toll of Prior Authorization Challenges on Healthcare Access appeared first on electronichealthreporter.com.

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Healthcare It News

JANUARY 8, 2025

Since 2016, the 200-member IT team of Narayana Health in India has built smart and mobile solutions for patients and staff, says IT VP Jagadeesh Ramasamy.

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Hospitals 186

Healthcare Dive

JANUARY 9, 2025

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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Hospitals 355

MRO Compliance

JANUARY 8, 2025

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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Fierce Healthcare

JANUARY 9, 2025

Hippocratic AI is kicking off 2025 with a bang. The startup, which is building a large language model specifically for healthcare use cases, banked a $141 million series B financing round only nine months after its series A round.

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Healthcare IT Today

JANUARY 10, 2025

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

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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.

Due Diligence

Healthcare Dive

JANUARY 9, 2025

Nearly 30% of the funding poured into healthcare startups last year went to companies leveraging artificial intelligence, according to Silicon Valley Bank.

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HIT Consultant

JANUARY 8, 2025

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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HIPAA Health Outcomes Compliance 114

Fierce Healthcare

JANUARY 8, 2025

Healthcare tech company H1 picked up Ribbon Health, a provider data management software company to broaden its reach into the health plan, provider system and digital health sectors.

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Healthcare IT Today

JANUARY 8, 2025

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

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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.

Compliance

Healthcare Dive

JANUARY 7, 2025

The complaint alleges nearly two dozen pharmaceutical companies colluded to limit competition, causing costs for certain generic medications to skyrocket.

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Digital Health News

JANUARY 6, 2025

The government will develop a shared digital platform to allow up-to-date medical information to be shared between the NHS and care staff.

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Governance 126

Fierce Healthcare

JANUARY 10, 2025

CMS is recommending a 2.23% payment increase from the federal government to MA plans. Payers will likely be much happier at this year's advance notice than the prior year's rate cut.

Governance 128

Governance 128

Healthcare IT Today

JANUARY 7, 2025

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.

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HIPAA Compliance Ransomware Governance 117

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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.

Telemedicine

Healthcare Dive

JANUARY 8, 2025

CVS’ efforts to reform how its pharmacies are paid have reached a significant milestone that should stabilize flagging margins.

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Mobi Health News

JANUARY 7, 2025

At CES in Las Vegas, Circular announced its next-generation health tracking ring with ECG capabilities, and VIV Health unveiled its ring with generative sleep aid sound technology.

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Fierce Healthcare

JANUARY 10, 2025

Private equity firm New Mountain Capital plans to acquire Machinify and combine its with its previous merger of The Rawlings Group, Apixios Payment Integrity business and Varis to create a powerhouse in the payment integrity market. The combined entity will have revenue of more than $500 million.

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Healthcare IT Today

JANUARY 6, 2025

Today Cleerly , a leader in advanced cardiovascular imaging, announced the successful closure of its Series C extension funding round, raising a total of $106 million. This funding round was led by global software investor Insight Partners and joined by Battery Ventures with participation from pre-existing investors. With this new funding, Cleerly will continue to scale its commercial growth and clinical evidence generation, helping healthcare professionals improve outcomes for patients across t

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FDA Medicare Medicare 109

Advertiser: Celo

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.

Hospitals

Healthcare Dive

JANUARY 9, 2025

The bevy of changes for the massive California nonprofit is meant to improve operations, but should also give Blue Shield a financial leg-up as it competes with well-funded for-profit peers.

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Digital Health News

JANUARY 8, 2025

Researchers at The Clatterbridge Cancer Centre NHS Foundation Trust are using AI to enhance the precision of radiotherapy for prostate cancer.

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Fierce Healthcare

JANUARY 9, 2025

Providers should inform patients in clinical settings about cancer risk, promote alcohol screening and offer treatment referrals, the U.S. surgeon general said in an advisory. Here's how.

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Healthcare IT Today

JANUARY 8, 2025

It can be very overwhelming scrolling though job board after job board in search of a position that fits your wants and needs. Let us take that stress away by finding a mix of great health IT jobs for you! We hope you enjoy this look at some of the health IT jobs we saw healthcare organizations trying to fill this week. Here’s a quick look at some of the health IT jobs we found: Senior Medical Director – Arizona Priority Care Information Technology Operations Manager – Franklin

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Due Diligence Hospitals 111

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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?

Healthcare Dive

JANUARY 10, 2025

The law aims to close loopholes that officials say Steward Health Care exploited to keep regulators in the dark about its finances leading up to its bankruptcy.

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Hospitals 294

Digital Health News

JANUARY 10, 2025

Releaf has launched a 2 millionproprietary tech platform to transform how patients access medicalcannabistreatment.

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Fierce Healthcare

JANUARY 6, 2025

A Louisiana patient who had been hospitalized with the first human case of highly pathogenic avian influenza, or H5N1, in Louisiana and the U.S. has died, the state's health department reported Monday.

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Hospitals 128

Healthcare IT Today

JANUARY 6, 2025

As we wrap up another year and get ready for 2025 to begin, it is once again time for everyone’s favorite annual tradition of Health IT Predictions! We reached out to our incredible Healthcare IT Today Community to get their insights on what will happen in the coming year and boy did they deliver. We in fact got so many responses to our prompt this year, that we have had to narrow them down to just the best and most interesting.

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Nurses Hospitals Governance Compliance 96

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