Sat.Nov 11, 2023 - Fri.Nov 17, 2023

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Six Compelling Reasons to Begin Your HIPAA Compliance Journey Before the Year Ends

Total HIPAA

As 2023 unfolds, the urgency for entities in the healthcare sector to initiate or reinforce their HIPAA compliance cannot be overstated. This isn’t just about ticking off a checklist; it’s about safeguarding the future of your organization, whether you’re a medical practice, a health insurance agent, a self-funded employer, or a business associate in the healthcare realm. 1.

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Benefits of SOC 2 Compliance

Compliancy Group

Data breaches and cyberattacks have become more prevalent, making it essential for organizations to prioritize the security and privacy of their customers’ sensitive information. One effective way to achieve this is by obtaining SOC 2 compliance. SOC 2, short for System Organization Controls 2, is a widely recognized auditing standard developed by the American Institute of Certified Public Accountants (AICPA).

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The No Surprises Act Demands Real-Time Regulatory Compliance

HealthIT Answers

By Eric Demers - In 2022, 20% of adults said they or their family received an unexpected medical bill. The No Surprises Act, which went into effect last year, is better late than never. A bipartisan effort to protect patients from unexpected healthcare expenses, the NSA minimizes surprise billing and makes. The post The No Surprises Act Demands Real-Time Regulatory Compliance appeared first on Health IT Answers.

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Which Compliance Framework Governs the Healthcare Industry?

MedTrainer

In the United States, there are several compliance frameworks and entities that govern requirements for the healthcare industry. Each governing body oversees a different aspect of regulatory compliance. To understand which compliance frameworks govern which requirements, we need to break it down entity by entity. Let’s start by defining what a compliance framework is all about.

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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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UnitedHealth sued over use of algorithm to deny care for MA members

Healthcare Dive

The lawsuit alleges UnitedHealth used nH Predict to deny claims for Medicare Advantage seniors, despite the algorithm’s determinations being overturned in more than 90% of appeals.

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The Privatization of Cancer

Bill of Health

By Daniel G. Aaron Cancer is fearsome, unstoppable even. So the story goes. Yes, you can secure some extra time with loved ones, and — if you are lucky — maybe your cancer is susceptible to drugs or surgery. But for most people, cancer sounds like a death sentence. The proper response is to throw drugs and radiation at it. Cancer seems so unstoppable that many have started rifling through their cosmetic products and foods to eliminate all possible carcinogens.

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Using Automation to Improve Payer Collaboration: On Air Insights

MRO Compliance

Managing laborious payer processes is one of the most cumbersome operational challenges for hospitals and health systems. From initial claim submission to filling additional documentation requests, and responding to payer audits or denials, healthcare provider organizations dedicate significant time and resources to collaboration with payers. I recently had the pleasure of sitting down with Beth Friedman, Senior Partner of FINN Partners, on FINN Voices , part of Healthcare NOW Radio.

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Mayo Clinic posts $4.5B in operating revenue for Q3

Healthcare Dive

After a rocky 2022, the Minnesota-based nonprofit has posted a net income in three consecutive quarters on sustained volumes and moderating expenses.

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Old Dogs and New Tricks: A Case for the Principles and Guidelines on Human Rights & Public Health Emergencies

Bill of Health

By Nerima Were and Allan Maleche Taking into account our experiences as human rights lawyers working in Kenya during the COVID-19 pandemic, in this article we briefly analyze the Principles and Guidelines on Human Rights and Public Health Emergencies (the Principles) and make a case for their utility in guiding State measures to prepare for, prevent, and respond to future pandemics consistently with international human rights law and standards.

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Where social work, tech and health equity intersect

Healthcare It News

Felisha Norrington, director of academic assistance at GSU's College of Nursing and Health Professions, says while there is movement on health equity, social work and technology investments help ensure care resources are accessible to all people.

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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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A light bulb went off: 'Alexa for telemedicine!'

Healthcare IT News - Telehealth

As was the case with many healthcare organizations, the COVID-19 pandemic ushered in a significant increase in telehealth visits for Phoenix Children’s Hospital – especially in outpatient clinics. THE PROBLEM For a children’s hospital, this meant that often for the first time, parents and/or extended family could attend a doctor’s visit virtually and take a more active role in the care of their children.

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One Medical enters New Jersey through latest health system deal, with Hackensack Meridian Health

Healthcare Dive

The partnership announced Tuesday adds another hospital operator to the company’s bench of health system affiliates. One Medical plans to open its first clinic in the Garden State by the end of next year.

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What’s on the Horizon for Health and Biotech with the AI Executive Order

Bill of Health

By Adithi Iyer Last month, President Biden signed an Executive Order mobilizing an all-hands-on-deck approach to the cross-sector regulation of artificial intelligence (AI). One such sector (mentioned, from my search, 33 times) is health/care. This is perhaps unsurprising— the health sector touches almost every other aspect of American life, and of course continues to intersect heavily with technological developments.

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Primary care player Forward unveils AI-based, self-serve CarePods backed by $100M investment

Fierce Healthcare

Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.< | Primary care player Forward unveiled this week what it has been quietly working on the past two years—self-serve CarePods that use artificial intelligence to screen and diagnose health conditions.

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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.

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Houston FQHC to deploy AI-based mental health support at no cost

Healthcare IT News - Telehealth

The Federally Qualified Health Center Community Health Network, operating in Brazoria, Harris and Galveston counties in Texas, has partnered with Wysa to integrate its artificial intelligence-guided mental health platform to offer adjunctive behavioral health support throughout patient care journeys and give clinicians and administrators insights. Wysa is also being deployed at MyCHN for provider mental health support.

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New York proposes ‘nation-leading’ hospital cybersecurity regulations

Healthcare Dive

The rules, which would require facilities to develop response plans and hire a chief information security officer, aim to safeguard hospitals from growing threats and keep them operating during an attack.

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Reviewing Solidarity in the Principles and Guidelines on Human Rights and Public Health Emergencies

Bill of Health

By Eduardo Arenas Catalán The Principles and Guidelines on Human Rights and Public Health Emergencies (the Principles), entail a notable attempt to consolidate lessons learned from the COVID-19 pandemic. After the largely non-solidaristic international response to COVID-19, the Principles outline the advantages and limitations of embedding human rights discourse within the global public health machinery.

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UnitedHealthcare hit with class action over alleged use of AI to deny Medicare Advantage claims

Fierce Healthcare

UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage. | UnitedHealthcare is facing a potential class action lawsuit following allegations that it used an algorithm to deny claims for post-acute care services in Medicare Advantage.

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Best Practices for Sharing Protected Health Information (PHI)

In this ebook, you will learn about the 18 PHI indicators, the legal requirements and penalties surrounding PHI, and how your healthcare teams should securely exchange this data. Key takeaways from this ebook: Gain confidence in identifying PHI. Acquire practical implementation strategies for exchanging PHI within your organization. Emphasize the importance of using compliant communication tools within healthcare teams.

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How one gastroenterology practice uses hybrid virtual care to improve patient experience

Healthcare IT News - Telehealth

Gastroenterology Associates of New Jersey needed to optimize care and capacity: Reimbursement gets tighter every year while patient demand grows. The practice aims to improve access for necessary in-person care and procedures while offering patients complementary proven interventions ideally suited for telemedicine. THE PROBLEM "Gastroenterology is a complex specialty," said Dr.

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Most rural hospitals no longer deliver babies, report finds

Healthcare Dive

Financial challenges at rural hospitals — driven by reimbursement problems — are leading facilities to shutter labor and delivery wards, according to a new report.

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Five Opportunities to Use the Law to Address Persistent OUD Treatment Gaps 

Bill of Health

By Jon Larsen and Sterling Johnson People who need opioid use (OUD) treatment in the United States are often not receiving it — at least two million people with OUD are experiencing a treatment gap that prevents or hampers their ability to receive life-saving care and support. This reality reflects structural, policy, and legal misalignments common to the entire U.S. health care system, but that are especially present for behavioral health needs like substance use, and are exacerbated by other c

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In-Ear Wearable Measures Blood Flow to the Head for Long COVID POTS

HIT Consultant

What You Should Know: STAT Health emerges from stealth to introduce a 24/7 in-ear wearable that measures blood flow to the head to better understand symptoms such as dizziness, brain fog, headaches, fainting, and fatigue that occur upon standing. These are common symptoms for illnesses like long COVID, postural orthostatic tachycardia syndrome (POTS), myalgic encephalomyelitis / chronic fatigue syndrome (ME/CFS), and other orthostatic (caused by standing) syndromes that affect more than 13 milli

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HIPAA: Why It Matters to Your Practice

85% of practices are not complying with the government’s HIPAA standards. The large majority of practices are likely trying to protect patients’ information, but they may not be doing all that they need to meet government requirements. Not complying with HIPAA has definite drawbacks, with one major one being massive fines. The government can fine up to 1.5 million dollars for a single HIPAA breach incident - an amount that would put most small practices out of business.

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US patients believe generative AI can improve healthcare access, affordability, survey finds

Fierce Healthcare

As the industry continues to debate the promise and risks of artificial intelligence in healthcare, patients are bullish on the potential for generative AI to improve access and even lower healthca | As the industry continues to debate the promise and risks of artificial intelligence in healthcare, patients are bullish on the potential for generative AI to improve access and even lower healthcare costs.

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Senate subcommittee signals support for permanent telehealth flexibilities

Healthcare Dive

But witnesses noted Congress shouldn’t wait to enshrine pandemic-era accommodations for virtual care, arguing regulatory uncertainty is a danger to telehealth’s longevity.

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Telehealth consortium to deliver after-hours service in rural NZ

Healthcare IT News - Telehealth

A new after-hours clinical telehealth service will be offered shortly to rural communities in New Zealand. This comes after the contract to deliver the said service nationwide over three years was awarded to a consortium of telehealth providers, which is composed of Reach Aotearoa, Practice Plus and Emergency Consult. WHAT IT'S ABOUT Commissioned by Te Whatu Ora and Te Aka Whai Ora, the new service will provide after-hours care on weekdays and will be available round-the-clock on weekends an

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Frontline digitisation funds at risk to cover industrial action costs

Digital Health News

A new guidance letter from NHSE to trusts on industrial action suggests investment for frontline digitisation may be pulled from more mature trusts

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The 2023 Behavioral Health Industry Report

This report explores current issues in the behavioral health industry in 2023. Topics covered include quantitative statistics describing the overall increase in behavioral health issues, the impact of psychologist and staff burnout, how HIPAA compliance is once again at the top of our minds & much more!

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Prior authorization and other regulatory burdens have increased since last year, practices tell MGMA

Fierce Healthcare

Nine in 10 polled medical practices say their regulatory burden has increased over the past year with prior authorization, audits and appeals, the Medicare Quality Payment Program (QPP) and require | The latest annual poll of practices' regulatory burden outlined prior authorization, audits and appeals, Medicare QPP and other leading pain points that physicians say are weighing down theor staff and ability to deliver care.

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FDA-ordered report tackles how to manage cybersecurity risks of legacy devices

Healthcare Dive

The report proposes multiple actions for protecting older medical devices, including research into more modular devices and collecting data on cyber risks.

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The State of Digital Health Investment and What It Means for Health Organizations

HIT Consultant

Bob Farrell, CEO, mPulse Mobile Over the last several years there’s been significant investment in digital healthcare startups and growth-stage organizations, particularly those showing technical innovation that delivers improved health outcomes and more efficient care delivery models. Digital health organizations that translate investment dollars into quality outcomes will emerge as leaders by focusing on core challenges faced by major players across the healthcare industry.

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Answer Digital wins AI Project of the Year award for multi-modal platform

Digital Health News

Answer Digital has won an award for AI Project of the Year at the IT Industry Awards for its multi-modal AI platform supporting faster diagnoses in the NHS.

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Buyer's Guide: Evaluating and Selecting the Best CLM Solution for Your Organization

Evaluating and selecting the right contract lifecycle management (CLM) platform can be complicated. However, by getting the right people involved, prioritizing your business needs, and testing your technology options, you can make it easier.