Sat.Nov 18, 2023 - Fri.Nov 24, 2023

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Optimizing SNF Billing: A Comprehensive Guide with Essential Tips

Medisys Compliance

Accurate and timely billing is a fundamental aspect of financial success for Skilled Nursing Facilities (SNFs), particularly when it comes to optimizing SNF billing. With Medicare Part A serving as a primary payer for many residents, understanding the intricate landscape of SNF billing is crucial to ensure proper reimbursement and compliance. In this guide, we will explore into essential SNF billing tips to help you optimize your billing processes and navigate the complexities of reimbursement.

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Tips for Building an Effective Healthcare Compliance Program

Compliancy Group

Healthcare organizations face a series of challenges, especially regarding healthcare compliance. When you work in the healthcare space, you must meet regulatory standards such as HIPAA, OSHA, and SOC 2. So, how can you ensure that your healthcare compliance program is effective – protecting your staff, patients, and business? Follow these tips to ensure you’re implementing an effective healthcare compliance program.

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5 Reasons Why We Should be Thankful for Compliance Professionals

Healthicity

In past years at Thanksgiving time, we’ve written about the reasons compliance professionals should be thankful for working in the compliance profession. This year, let’s explore why organizations should be grateful for you, the compliance professionals, who build and manage compliance programs.

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Four Critical Listening Skills for Compliance Officers 

YouCompli

Wikipedia describes listening as “giving attention to sound or action.” This overly simplistic definition fails to address the inherent challenges that keep many people from being a good listener in life and, more particularly, in the workplace. The obstacles to good listening skills are many. Those include interruptions, inattention, biased or selective hearing, and focusing on your response rather than the speaker.

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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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Navigating FDA Compliance: A Guide to 21 CFR Part 210 and Part 211

Dot Compliance

In the pharmaceutical industry, ensuring the safety and quality of drugs is paramount. Manufacturers must adhere to stringent regulations set forth by the U.S. Food and Drug Administration (FDA) to meet the Current Good Manufacturing Practice (cGMP) standards. For companies in the manufacturing, processing, packing, or holding of drugs, compliance with 21 CFR Part 210 and 21 CFR Part 211 is not just a regulatory requirement; it’s the key to producing safe and effective pharmaceutical produ

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Healthcare bankruptcies are rising. Here are five major filings so far in 2023.

Healthcare Dive

Bankruptcies have spiked this year as federal COVID-19 funding lapsed and heightened interest rates, regulatory changes and labor shortages squeezed the sector.

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Judging in the Pandemic – A Malawian Perspective

Bill of Health

By Zione Ntaba Malawi is not a stranger to public health crises in the last number of years, having faced a severe HIV epidemic and several cholera outbreaks continuing into 2023. Nevertheless, the onset of the COVID-19 pandemic caused a major panic in the country’s legal system and judiciary. COVID-19 brought to fruition a major ethical dilemma in ensuring the justice system’s continued functioning, while also protecting the lives of all those involved, and simultaneously ensuring the promotion

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Hospitals: UHC's 2024 MA coverage policy 'blatantly violates' new CMS coverage requirements

Fierce Healthcare

Hospitals are petitioning the Biden administration to crack down on Medicare Advantage (MA) plans they say are flaunting coverage requirements recently codified by the Centers for Medicare & Me | The nation's largest MA operator is skirting new CMS regulations prohibiting MA plans from limiting or denying coverage for hospital services that would be covered under traditional Medicare, the hospital industry told federal officials this week.

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Where are all the nurses? Hospitals, advocates disagree on crisis

Healthcare Dive

Hospitals and nursing unions clash on what’s driving sluggish application rates for open registered nurse positions at hospitals — a lack of qualified candidates or a lack of interest.

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InterSystems cloud integration service comes to NZ and more briefs

Healthcare It News

NZ launch of InterSystems' cloud-based integration engine InterSystems has launched in New Zealand its managed integration engine cloud service, HealthShare Health Connect Cloud. The platform-as-a-solution streamlines interoperability and data integration between clinical systems and applications. It also manages cloud migration infrastructure, enabling providers to "more quickly and easily connect distributed datasets, efficiently move workloads and information across cloud solutions a

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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.

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One aged care provider’s solution to meet rural service demand amid staff shortage

Healthcare IT News - Telehealth

Australia is facing a shortfall of at least 110,000 aged care workers by 2030 , according to a projection by the Committee for Economic Development of Australia. The issue is expected to have a profound impact on the aged care sector as it is predicted to be competing with other nursing sectors to hire and retain between 20,000 to 40,000 available staff over the next two years.

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How Prisma Health unified digital health tech to boost patient engagement, slash no-shows

Fierce Healthcare

Navigating the healthcare system often requires using different websites, mobile apps and phone calls to find providers and make appointments. | The health system has seen a 10x increase in downloads of the Prisma Health Go app, from 40 to up to 400 downloads per day. The health system also reports a 33% reduction in patient no-shows in one year and estimates $8 million in cost savings as a result of slashing the no-show rates.

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PeaceHealth will pay up to $13.4M to settle charity care probe

Healthcare Dive

The Washington-based nonprofit said their policies center care, "not maximizing collections." The state's attorney general said the hospital failed to notify patients about financial assistance options.

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Doctomatic helps providers to collect readings from remote patients

Healthcare It News

HIMSS23 Europe Startup PitchFest winner Doctomatic captures and assesses remote patient measurements using visual AI. Carmen Pauline Rios Benton, cofounder of the Spanish startup, shares the details.

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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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Acute hospital care at home gets good grades from CMS research

Healthcare IT News - Telehealth

Patients who received care under the pandemic's Acute Hospital Care at Home program had a low mortality rate and minimal complications related to escalations back to the brick-and-mortar hospital, according to a CMS research letter published in the Journal of the American Medical Association Health Forum.

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Medicare paid out $31.2B in improper payments for FY23, CMS says

Fierce Healthcare

Traditional Medicare paid out an estimated $31.2 billion in improper payments in fiscal year 2023, according to new data from the federal government. | The Centers for Medicare & Medicaid Services released its annual look at improper payments and found that the overall rate in Medicare was 7.38%, which sits below the 10% level mandated in statute.

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AstraZeneca creates digital health unit, with big-name partnerships already in place

Healthcare Dive

Called Evinova, the unit will operate as a separate business within AstraZeneca, which sees digital health solutions as a market primed for growth.

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Steering healthcare's digital evolution: Marrying technology with the human element

Healthcare It News

Artificial Intelligence Electronic Health Records (EHR, EMR) Patient Engagement Population Health Workforce "Through my involvement with HIMSS Europe and EMRAM stage 7 validations, I’ve observed that the most successful organisations in healthcare IT are those with a stable, digital-savvy culture." Dr Ana Rafaela Prado In the swiftly changing healthcare landscape, the fusion of technology and patient care is increasingly integral.

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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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Disquiet grows over perceived Palantir takeover of FCI

Digital Health News

The FCI has been wracked by more resignations of trustees, triggered by deep disquiet among some members about growing ties to Accenture and Palantir.

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4.5M have signed up for coverage on the ACA exchanges so far in open enrollment: CMS

Fierce Healthcare

Open enrollment on the insurance marketplaces began on Nov. | Open enrollment on the insurance marketplaces began on Nov. 1, and more than 4.5 million people have selected plans in the early weeks of the process, according to new federal data.

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Completion rates for tests, referrals lower from telehealth visits, study finds

Healthcare Dive

Failure to get tests or complete referrals is a leading cause of diagnostic errors, and it’s particularly important in primary care, researchers said.

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HIMSSCast: Cedar collaborates with Google Cloud on AI to ease the patient billing experience

Healthcare It News

Cedar announced earlier this year a collaboration using Google Cloud's generative AI tools to assist patients in understanding and resolving their healthcare bills. Cedar is preparing to deploy AI tools in the market by early next year. The aim is more than paying for healthcare, it's making it easier for consumers to pay for healthcare, according to Cedar president Seth Cohen.

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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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US Military Says National Security Depends on ‘Forever Chemicals’

Kaiser Health News

The Department of Defense relies on hundreds, if not thousands, of weapons and products such as uniforms, batteries, and microelectronics that contain PFAS, a family of chemicals linked to serious health conditions. Now, as regulators propose restrictions on their use or manufacturing, Pentagon officials have told Congress that eliminating the chemicals would undermine military readiness.

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Ayble Health, Mayo Clinic collaborate to treat high-acuity patients in person

Fierce Healthcare

Ayble Health, a digital health platform for patients with chronic gastrointestinal conditions, has announced a new collaboration with the Mayo Clinic. | Ayble is working with the Mayo Clinic Complex Care Program to offer a hybrid care model to match patients with the appropriate virtual and in-person care based on acuity and need.

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Average per-worker cost of health benefits rose by 5.2% in 2023: survey

Healthcare Dive

Inflation is a contributor to the increase, but rising prescription drug costs are likely to have a longer-term impact, according to a Mercer report.

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The Tools Needed to Succeed in Private Practice Today

HealthIT Answers

By Michael A. Brickman MD - Multiple industry factors have made it increasingly difficult for individual physicians to successfully maintain a private practice, and patients could shoulder the negative effects of a more consolidated healthcare system. The post The Tools Needed to Succeed in Private Practice Today appeared first on Health IT Answers.

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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.

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Majority of Americans Believe AI Can Revolutionize Healthcare in 2024

HIT Consultant

What You Should Know: More than half (51%) of U.S. adults are optimistic new applications of artificial intelligence (AI) will lead to major advancements and breakthroughs in healthcare in the year ahead, according to a new survey from Medtronic , a global healthcare technology leader, and Morning Consult. Some of the highest levels of optimism for AI in healthcare are around diagnoses and improving healthcare access.

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Memorial Hermann implementing Laudio's AI platform to reduce admin burden on frontline workers

Fierce Healthcare

Memorial Hermann Health System is implementing Laudio’s platform to enhance employee efficiency and engagement. | Memorial Hermann Health System is tapping Laudio’s AI platform to promote efficiency and engagement among its employees.

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Intermountain Health financials are in the black, but down from 2022

Healthcare Dive

The Salt Lake City-based operator posted $912 million in net income for the first nine months of 2023, down from the $2.2 billion reported last year.

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From Paper to Pixels: The Future is Bright for Health Information Management

Healthcare IT Today

The evolution of Health Information Management (HIM) professionals has been remarkable. They are no longer paper pushers (literally) and are now stewards of healthcare data. Jennifer Mueller, President of the American Health Information Management Association ( AHIMA ), sees a bright future for the HIM industry. Healthcare IT Today sat down with Jennifer Mueller, AHIMA President and the Vice President & Privacy Officer at the Wisconsin Hospital Association Information Center ( WHAIC ) to the

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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.