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Nurse unions slam Kaiser's advanced care at home strategy

Healthcare IT News - Telehealth

" "The Kaiser Permanente Advanced Care at Home is an innovative person centered program rooted in quality, safety and patient satisfaction. Patients enrolled in the program must meet established clinical and safety criteria," the representatives continued. ON THE RECORD.

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What is GRC in Healthcare?

Verisys

Governance, Risk Management, and Compliance (GRC) in healthcare is an integrated approach that helps healthcare organizations manage their overall governance, enterprise risk management, and comply with regulatory requirements in a cohesive and aligned manner. What is healthcare data governance? What is GRC in Healthcare?

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These are the compliance issues providers should be preparing for, post-PHE

Healthcare IT News - Telehealth

Additionally, several telehealth flexibilities (that generally expand Medicare coverage for telehealth services) have been extended 151 days (about five months) beyond the termination of the HHS PHE. State government executive orders. If Medicare coverage requirements for telehealth services (e.g., Agency enforcement discretion.

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How AI and machine learning can help predict SDOH needs

Healthcare It News

For example, training a predictive model on the general population may be inaccurate when used in a Medicare or Medicaid population. Please describe the process for using local data to train predictive machine learning models.

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Navigating the Intersection of Payment Integrity and Provider Relations in Healthcare

Innovaare Compliance

The Centers for Medicare & Medicaid Services (CMS) reported that in the fiscal year 2020, they recovered $3.1 A survey by the American Medical Association found that 92% of physicians reported that prior authorization requirements had a negative impact on patient clinical outcomes. 2021, January 15). 2021, April).

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What is Provider Credentialing in Healthcare?

Medisys Compliance

These terminologies are briefly discussed below for better understanding: Provider enrollment: This refers to the process of enrolling a healthcare provider with an insurance plan or government program, such as Medicare or Medicaid. This trust can lead to increased patient satisfaction and retention.

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Telehealth evolution: Supporting patients with virtual care

YouCompli

“Not surprisingly, both government and health plan audits have identified what Compliance professionals warmly refer to as ‘opportunities’ with respect to how telehealth services are documented, coded, and reimbursed by healthcare providers.” . Related: Telehealth policies and programs center on patient care.