American Medical Compliance

DECEMBER 21, 2023

Providing healthcare is undeniably one of the most promising and rewarding ventures in today’s business landscape. This is because of the rapidly growing global population and aging demographic. As featured in Companies Market Cap, the top 10 publicly traded healthcare companies have revenue of $39 billion to $359 billion as of 2023. This shows that there’s a continual focus on health and wellness.

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Compliancy Group

DECEMBER 21, 2023

Data is constantly being shared and stored electronically, contributing to healthcare organizations’ significant challenges regarding safeguarding patient information. With increasing cyber threats and privacy breaches, ensuring the confidentiality and security of protected health information has become paramount. This is where a healthcare privacy risk assessment plays a crucial role.

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Compliance Health Insurance HIPAA 52

HIT Consultant

DECEMBER 20, 2023

Cam Roberson, VP at Beachhead Solutions Healthcare delivery organizations and those working with them that are still in business are either well aware of their duties under HIPAA, work with managed service providers that understand the law well, or…are lucky to have made it this far. Even for organizations that have steered clear of both cyberattacks and regulatory fines, vigilance is essential to maintaining a clean bill of (cybersecurity) health.

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YouCompli

DECEMBER 19, 2023

Last month, the Office of Inspector General (OIG) published a new, user-friendly, 91-page General Compliance Program Guidance (GCPG). It is meant to be a helpful reference for everyone in the health care industry about how to develop a compliance program, safeguard their organizations and ensure they operate according to all laws and regulations. Users are encouraged to use the electronic version, to allow access to hyperlinked definitions and resource documents.

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Compliancy Group

DECEMBER 20, 2023

In today’s technologically advanced world, the protection of sensitive patient information is of utmost importance. Hospitals play a crucial role in maintaining the privacy and security of this data, as they are entrusted with valuable medical records. Hospitals must adhere to the Health Insurance Portability and Accountability Act (HIPAA) regulations to ensure patient confidentiality.

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Healthcare Dive

DECEMBER 20, 2023

Osterhaus Pharmacy in Iowa — which is also suing CVS Caremark — is taking issue with pharmacy benefit managers’ use of performance-based fees that it says are contributing to independent pharmacy closures.

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Healthcare IT News - Telehealth

DECEMBER 18, 2023

Drake Star is a tech-focused investment bank that works with top tech companies. Christophe Morvan is managing partner at Drake Star, and Lawrence Giesen is a partner. Both specialize in telemedicine. As 2023 turns to 2024, the two experts have a lot of thoughts on the state of the market for virtual care. Healthcare IT News sat down with the men to discuss main players in the U.S. telemedicine sector, merger and acquisition trends for telemedicine, main financial backers and investment dynamics

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Fierce Healthcare

DECEMBER 22, 2023

Though often associated with gaming, virtual reality (VR) is a technology rapidly evolving in healthcare. | VR therapy is not a new concept, though it wasn’t until the last few years that the field became prominent. And as technology has improved and gotten more intuitive to use, it has also become less expensive.

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Healthcare Dive

DECEMBER 22, 2023

The suit alleges Salem Community Hospital and Perry Johnson & Associates waited months before informing affected individuals. The breach may have exposed the data of nearly nine million people across the country.

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Bill of Health

DECEMBER 22, 2023

By Aparajita Lath* The World Health Organization (WHO), in collaboration with the World Intellectual Property Organization (WIPO) and the World Trade Organization (WTO), hosted the 10 th Trilateral Symposium on Human Health and Climate Change in Geneva this November. This article reflects the significant effort made to put climate-sensitive diseases, many of which are neglected tropical diseases (NTDs), at the forefront of these talks.

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Healthcare IT News - Telehealth

DECEMBER 21, 2023

Steven Ullman, director at the Center for Health Management and Policy at the University of Miami, says utilization has dropped to 5.4% of medical claims since telehealth use skyrocketed during the pandemic.

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Fierce Healthcare

DECEMBER 21, 2023

A new policy from Blue Cross Blue Shield Massachusetts, starting Jan. | Some patients needing a colonoscopy in Massachusetts won't be covered for monitored anesthesia care, or MAC, starting Jan. 1. Blue Cross Blue Shield Massachusetts is standing by the policy, which will save the insurer money but require the patient to remain awake for the operation.

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Healthcare Dive

DECEMBER 18, 2023

The suit comes as relaxed pandemic-era licensure rules for virtual care expire. Standard regulations are onerous for patients who may not be able to access specialty care for rare conditions, the lawsuit said.

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HIT Consultant

DECEMBER 22, 2023

Chris Bowen, founder and CISO at ClearDATA In healthcare, sensitive data comes with great responsibility. For companies entrusted with managing and protecting patients’ personal information, ensuring the privacy of that data must be the highest priority. These companies are called to act as vigilant guardians, especially when you consider that secure and accurate data can literally save lives.

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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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HealthIT Answers

DECEMBER 18, 2023

Our annual predictions for 2024 continues with Value-Based Care in 2024. Throughout the next few weeks we will be asking the industry experts what they think we will see in 2024. Check back as we cover AI, digital health, interoperability, privacy, security, access, and equality. The post Will 2024 See True Value-Based Care Transformation? appeared first on Health IT Answers.

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Fierce Healthcare

DECEMBER 19, 2023

Health plans and value-based care organizations are ill-prepared to help patients with Alzheimer’s Disease or related dementia. | Only a small fraction of health plans and value-based care organizations have a fully developed care management model for its enrollees with dementia or Alzheimer's, a new survey shows.

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Healthcare Dive

DECEMBER 22, 2023

A shift in funding sources, new regulatory policies in Medicare and technology advances may influence M&A in the sector next year, according to Samantha Prokop from law firm Gunster, Yoakley & Stewart.

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Jane Sarashon

DECEMBER 18, 2023

Nurses rank highest among various factors in the U.S. health system in the latest Gallup poll — earning a grade of “excellent” or “good” by American adults surveyed in November 2023. Further substantiation for nurses’ topping this poll of excellent care is that Gallup found historic low confidence in the U.S. health system among Americans earlier this year in a July study.

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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.

Fraud

HealthIT Answers

DECEMBER 18, 2023

The U.S. Department of Health and Human Services through the Office of the National Coordinator for Health Information Technology finalized its Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) rule. The post HHS Finalizes Rule to Advance Health IT Interoperability and Algorithm Transparency appeared first on Health IT Answers.

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Fierce Healthcare

DECEMBER 19, 2023

The hype around healthcare artificial intelligence has reached a fever pitch but most doctors are holding back from trying it out in their medical practice, for now. | Among those who are holding off, doctors report lack of confidence in accuracy and a lack of integration or access through existing tools — as key obstacles to adoption.

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Healthcare Dive

DECEMBER 18, 2023

Two months after the insurers shelved their plan to merge after public outcry in Louisiana, Elevance and BCBSLA are bringing a new plan to the table they think will assuage regulatory concerns.

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Electronic Health Reporter

DECEMBER 22, 2023

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. By Eric McGuire, senior vice president, Medical Coding and CDI Service Lines and Corporate Strategy, AGS Health. Traditional fee-for-service reimbursements are falling by the wayside as healthcare continues its transition toward value-based reimbursement models.

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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.

HealthIT Answers

DECEMBER 21, 2023

By Oliver Patterson - In the ever-evolving healthcare sector landscape, communication is the lifeblood that keeps organizations functioning smoothly. Among these vital communication channels, email takes center stage. The post Securing Healthcare Communication: The Imperative Role of Email Link Isolation appeared first on Health IT Answers.

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Fierce Healthcare

DECEMBER 22, 2023

Wilmington, Delaware-based ChristianaCare has agreed to a $47.1 million settlement resolving illegal kickback allegations flagged by its former chief compliance officer, Ronald Sherman. | The agreement is the largest False Claims Act settlement in Delaware's history and paves the way for future cases against hospitals that provide private physician groups with free services from their employees, legal counsel said.

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Compliance Officers Compliance Hospitals 133

Healthcare Dive

DECEMBER 18, 2023

The CMS has repeatedly stopped and restarted arbitration this year as court cases snarl regulatory efforts to resolve surprise billing disputes.

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HIT Consultant

DECEMBER 18, 2023

What You Should Know: – PCA Rx and Cost Plus Drugs , are joining forces to tackle the longstanding issue of opaque and inflated drug pricing in the US healthcare system. – This landmark collaboration paves the way for greater transparency, accessibility, and affordability for employers and individuals nationwide. Prioritizing Drug Pricing Transparency By prioritizing transparency, this partnership empowers employers and members to make informed choices and fosters a more engaged heal

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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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Healthcare IT Today

DECEMBER 18, 2023

NextGen Healthcare is taking a methodical approach to AI and deploying it in places based on customer demand and where it will have maximum positive impact. Right now, that means using ambient clinical voice to generate SOAP notes. The company is also delivering more mobile capability to enable street medicine. In an exclusive interview with Healthcare IT, David Sides, Chief Executive Officer and Dr.

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Fierce Healthcare

DECEMBER 20, 2023

Health systems, insurers, retailers like CVS and tech companies like Amazon are all scrambling for a bigger piece of the medical pie. | Patients are looking for easier access to medical services and more convenience and this is opening big opportunities for insurers, retailers, tech companies and nontraditional players to muscle their way into primary care.

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Healthcare Dive

DECEMBER 21, 2023

Enrollment in the Affordable Care Act exchanges could be boosted by extended subsidies and the effects of Medicaid redeterminations.

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HIT Consultant

DECEMBER 19, 2023

What You Should Know: – A new survey by Artera , a leader in patient communication technology, reveals a stark disconnect between how healthcare providers communicate and what patients actually want. – The findings, based on responses from over 2,000 patients, paint a picture of frustration and missed opportunities, with simple phone calls and one-dimensional text messages falling short of patient expectations.

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