Sat.Jan 06, 2024 - Fri.Jan 12, 2024

article thumbnail

Understanding Sanction Screening: Safeguarding Healthcare Integrity Under HIPAA

Total Medical ComplianceHIPAA

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. HIPAA stands as a beacon of privacy and security standards within the industry. Among its many components, one crucial element often overlooked yet central is sanction screening. What is Sanction Screening? Sanction screening involves the meticulous examination of individuals and entities involved in healthcare to ensure they’re not excluded from federal or state healthcare prog

HIPAA 52
article thumbnail

Spring Forward With 2024 Compliance Changes

MedTrainer

It may seem a little early to do some spring cleaning, but not when it comes to compliance! It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. The concept of “Springing in the New Year” starts with giving up those bad compliance habits that always put you behind and your organization at risk.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

article thumbnail

Selecting a Healthcare Compliance Certification Program

Compliancy Group

Compliance plays a crucial role in maintaining integrity and quality of care in healthcare. With increasing regulations and scrutiny, organizations are recognizing the importance of having professionals who possess a comprehensive understanding of healthcare compliance. That’s where healthcare compliance certification comes into play. What is Healthcare Compliance Certification?

article thumbnail

Documentation and Provider Standards Training

American Medical Compliance

The following Documentation and Provider Standards Training educates healthcare providers on the significance of documentation compliance in healthcare. It also provides an introduction to all things related to healthcare compliance, which is important for all healthcare facilities to know about. What you will learn: Standards for medical documentation Legal requirements in healthcare documentation How to accurately record patient information Common errors in healthcare documentation Profession

Fraud 52
article thumbnail

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.

article thumbnail

Strategies for Higher Claim Acceptance Rates

Medisys Compliance

Introduction For solo practitioners and small healthcare providers juggling both patient care and medical billing, every step counts. Among the critical metrics in your revenue cycle management, ‘claim acceptance rates’ reign supreme. Higher first-pass claim acceptance, meaning claims paid without delays or denials, translates to faster cash flow, reduced administrative burden, and happier patients.

article thumbnail

Generative AI can identify social determinants of health data in notes, study finds

Healthcare Dive

Finely tuned models showed success in consistently extracting information like housing or employment status that often isn’t systematically organized in clinical notes.

334
334

More Trending

article thumbnail

Telehealth offers advantages for treating children with feeding disorders

Healthcare IT News - Telehealth

Many neurotypical and most neurodivergent children struggle with feeding difficulties. This does not just affect the child – it impacts the whole family. Focused Approach is a startup that helps children aged six months to 16 years old with feeding disorders. Its program Focused on Feeding has helped families go from hospital bed (with malnutrition) to the dinner table – entirely via telemedicine.

article thumbnail

UnitedHealth Group kicks off payer earnings, reports $5.5B in Q4 profit

Fierce Healthcare

Industry giant UnitedHealth Group kicked off fourth-quarter earnings for major payers on Friday morning, where it reported $5.5 billion in profit. | Industry giant UnitedHealth Group kicked off fourth-quarter earnings for major payers on Friday morning, where it reported $5.5 billion in profit.

143
143
article thumbnail

Healthcare technology trends to watch in 2024

Healthcare Dive

Experts discuss their predictions for healthcare industry trends, including investment and consolidation in digital health, adoption of artificial intelligence and improving cybersecurity in healthcare in 2024.

321
321
article thumbnail

HIMSSCast: How Karmanos Cancer Institute uses AI to find high-risk breast cancer

Healthcare It News

Detroit-based Karmanos Cancer Institute, a network of 16 treatment locations across Michigan and Ohio that is part of McLaren Health Care, is using artificial intelligence to elevate risk assessment and is surfacing high-risk breast cancer patients who would benefit from supplemental care and imagery. With women having a one in eight chance of developing breast cancer over their lifetimes, according to the American Cancer Society, finding breast cancer at earlier stages has moved the needle on s

Hospitals 254
article thumbnail

The Big Payoff of Application Analytics

Outdated or absent analytics won’t cut it in today’s data-driven applications – not for your end users, your development team, or your business. That’s what drove the five companies in this e-book to change their approach to analytics. Download this e-book to learn about the unique problems each company faced and how they achieved huge returns beyond expectation by embedding analytics into applications.

article thumbnail

Geisinger gets USDA rural development grant for inpatient virtual nursing

Healthcare IT News - Telehealth

Danville, Pennsylvania-based Geisinger this week announced that it has received a $948,741 grant from the U.S. Department of Agriculture Rural Development, which it will use to build out its virtual inpatient nursing program. WHY IT MATTERS With the grant, disbursed as part of the USDA's Distance Learning and Telemedicine program, will be used to outfit Geisinger Medical Center and Geisinger Shamokin Area Community Hospital with new telehealth technologies as part of Geisinger's Virtual

Nurses 149
article thumbnail

JPM24: Amazon rolls out service to connect customers with digital health benefits, taps Omada Health as launch partner

Fierce Healthcare

SAN FRANCISCO—Amazon plans to collaborate with digital health companies to connect customers with virtual care benefits for managing conditions like diabetes and hypertension. | Amazon plans to collaborate with digital health companies to connect customers with virtual care benefits for managing conditions like diabetes and hypertension. The online retail giant tapped virtual-first chronic care provider Omada Health as its first partner.

141
141
article thumbnail

Kentucky-based Baptist Health drops UnitedHealthcare, Centene MA plans

Healthcare Dive

Kentucky-based Baptist Health has gone out of network with UnitedHealthcare and Centene’s WellCare Medicare Advantage plans after failing to agree to contract terms.

Medicare 317
article thumbnail

Mass General Brigham CMIO on AI: 'exciting, but a little anxiety-provoking'

Healthcare It News

Editor's Note: This is the fifth in a series of features on top voices in health IT discussing the use of artificial intelligence in healthcare. To read the first feature, on Dr. John Halamka at the Mayo Clinic, click here. To read the second interview, with Dr. Aalpen Patel at Geisinger, click here. To read the third, with Helen Waters of Meditech, click here.

Nurses 248
article thumbnail

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.

article thumbnail

Indonesia expands robotic telesurgery project with Iran

Healthcare IT News - Telehealth

Robotic telesurgery continues to take off in Indonesia with the support of the government of Iran. The Robotic Telesurgery Center, a project between the two governments, is being expanded to connect the western and eastern islands of Indonesia at a distance of 3,500 kilometres. The Haji Adam Malik Central General Hospital, North Sumatra in western Indonesia and the Dr Wahidin Sudirohusodo Makassar, Sulawesi in eastern Indonesia recently signed a memorandum of understanding to join the project.

article thumbnail

CES 2024: Older seniors are happily living with AI—in the form of chatty robot ElliQ

Fierce Healthcare

LAS VEGAS — With all the buzz and headlines about artificial intelligence, there is one demographic that is quietly embracing the technology and even building long-term relationships with it. | With all the buzz and headlines about artificial intelligence, there is one demographic that is quietly embracing the technology and even building long-term relationships with it.

137
137
article thumbnail

Mortality rates low for hospital-at-home patients, study finds

Healthcare Dive

The study could support extending acute hospital care at home, researchers said. Currently, a pandemic-era waiver for the programs is set to expire at the end of the year.

Hospitals 300
article thumbnail

China doubles down on smart medicine

Healthcare It News

More healthcare stakeholders in China are contributing to the government's vision to make smart Chinese medicine popular and standardised. In December, the Hong Kong Baptist University (HKBU) and China Resources Research Institute of Science and Technology, a subsidiary of consumer goods conglomerate China Resources Enterprise (CR Enterprise), entered into an R&D agreement to establish the CR-BU Joint Innovation Centre on Smart Chinese Medicine.

article thumbnail

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.

article thumbnail

UpDoc to develop conversational, assistant-directed AI providers

Healthcare IT News - Telehealth

All care delivered through UpDoc's artificial intelligence-based remote patient providers would be prescribed by physicians or clinical pharmacists who oversee the platform, the company said in an announcement on Friday. WHY IT MATTERS UpDoc's remote patient intervention technology leverages conversational AI powered by multiplelarge language models, including GPT-4 through Microsoft's Azure Open AI Service, Google Cloud's MedLM and Vertex AI models.

article thumbnail

JPM24: Top trends for payers, providers and health tech companies to watch

Fierce Healthcare

We've closed the books on another hectic J. | We covered some of the biggest headlines from the four-day conference and after parsing through all the presentations, interviews and panel discussions, we tracked a handful of key trends dominating the conversations.

135
135
article thumbnail

Amazon launches chronic condition management portal; Omada nabs first partnership

Healthcare Dive

The new program surfaces eligible benefits for weight management, diabetes and other cardiometabolic conditions when users search Amazon for related devices, like a glucose monitor.

294
294
article thumbnail

Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Kaiser Health News

Former Olympic gymnast Mary Lou Retton spoke out last week on the NBC “Today” show about what she said was a rare pneumonia that almost killed her and resulted in an expensive, monthlong hospital stay. It was a shocking reveal. One key comment jumped out for those who follow health policy: Retton said she was uninsured, blaming that lack of coverage on 30 orthopedic surgeries that count as “preexisting conditions,” a divorce, and her poor finances. “I just couldn

article thumbnail

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.

article thumbnail

Virtual group therapy enables Geisinger to treat more patients and maintain care continuity

Healthcare IT News - Telehealth

At the start of the COVID-19 pandemic, the department of psychiatry and behavioral health at Geisinger began experiencing a significant increase in demand for behavioral health services. THE PROBLEM The demand for services was most noticeable for adult psychotherapy services, with waits as long as several months and several thousand outstanding orders.

article thumbnail

CES 2024: Elevance Health launches program to provide digital health-enabled smartphones to Medicaid members

Fierce Healthcare

In the wake of the COVID-19 pandemic, virtual care and digital health tools are more popular than ever. | Elevance Health is launching a new initiative that aims to put smartphones in the hands of Medicaid members who otherwise cannot connect to virtual services.

Medicaid 136
article thumbnail

Walgreens to pay Humana $360M to settle drug pricing dispute

Healthcare Dive

The settlement is a little over half of what Walgreens was originally ordered to pay, after an arbiter said the retail pharmacy chain overcharged Humana for prescription drugs for more than a decade.

286
286
article thumbnail

NHSE to investigate Palantir for possible breach of FDP contract

Digital Health News

NHS England will investigate whether US data analytics giant Palantir violated the terms of its contract to run the Federated Data Platform.

145
145
article thumbnail

Monetizing Analytics Features

Think your customers will pay more for data visualizations in your application? Five years ago, they may have. But today, dashboards and visualizations have become table stakes. Turning analytics into a source of revenue means integrating advanced features in unique, hard-to-steal ways. Download this white paper to discover which features will differentiate your application and maximize the ROI of your analytics.

article thumbnail

Improving Healthcare for Patients & Providers Through AI & Machine Learning

HIT Consultant

Nick Magnuson, Head of AI at Qlik With many economic hurdles this year including rising costs and inflation, the healthcare industry has had a challenging backdrop in which to operate. In a sector dedicated to improving and saving lives, healthcare has so much to gain by adopting new AI and machine learning (ML) technologies. The World Economic Forum sums up the transformative potential of AI and ML in this setting: from propelling the development of drugs and vaccines to improving medical diagn

article thumbnail

Hims & Hers grows health system partnerships, taps Hartford HealthCare for in-person primary care

Fierce Healthcare

SAN FRANCISCO — Virtual care company Hims & Hers is collaborating with Hartford HealthCare to connect patients in Connecticut with in-person primary and specialty care services. | Virtual care company Hims & Hers is collaborating with Hartford HealthCare to connect patients in Connecticut with in-person primary and specialty care services.

131
131
article thumbnail

Elevance sues HHS over Medicare Advantage star ratings

Healthcare Dive

The payer is taking issue with how regulators calculated quality scores for 2024, after seeing a stars decline that could cause its bonus revenue to fall by $500 million.

Medicare 286
article thumbnail

Hackers say they didn't encrypt health system's data to not 'interfere with patient care'

Becker's Health IT

A hacker group said it only stole data from Trenton, N.J.-based Capital Health — but didn't encrypt it — "so as not to interfere with patient care," databreaches.net reported Jan. 8.

113
113
article thumbnail

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.