HIT Consultant

FEBRUARY 1, 2023

Administrative processes account for about 30% of U.S. healthcare costs, which means that all areas of a patient encounter, from check-in to billing and claims, are potential targets to obtain greater efficiency. Administrative processes account for about 30% of U.S. as well as free text.

Compliance 98

Compliance Hospitals 98

Compliancy Group

JANUARY 3, 2024

No matter the intent, noncompliance in medical billing can have severe consequences. This article discusses the issues related to medical billing compliance policy and the steps for providers to maintain financial integrity and adherence to all requirements. It pays to know the law and avoid temptations to cut corners.

Medical Billing 52

Medical Billing Compliance ACA Health Insurance 52

MedTrainer

MAY 15, 2024

I can tell you from experience that managing medical credentialing services in New York is no different. In this article, I’ll share what I’ve learned about credentialing medical providers in New York. What’s Unique About Medical Credentialing in New York 1. What’s Unique About Medical Credentialing in New York 1.

Malpractice 52

Malpractice Medicaid Medicaid Licensing 52

MedTrainer

APRIL 18, 2024

Behavioral health credentialing certainly has a unique and challenging credentialing process. In this blog post, we’ll explore these and how behavioral health practices are adopting technology to prepare for the future. Get the tools you need to eliminate delays in your provider enrollment process.

Medicare 52

Medicare Medicare Licensing Compliance 52

Compliancy Group

MARCH 22, 2024

As a compliance officer or critical decision-maker, you can help your healthcare organization avoid exclusion from this valuable program by creating a comprehensive compliance program and using software to streamline your compliance processes. Waste refers to the overuse of medical services, resulting in unnecessary expenses.

Medicare 52

Medicare Medicare Compliance Compliance Officers 52

Provider Trust

JUNE 30, 2023

Payers within the healthcare ecosystem understand the complexities and importance of maintaining integrity when submitting or evaluating payments for medical services rendered by providers. This means payers must rely on post-payment reviews and audits to identify those errors, overpayments, and fraudulent claims.

Overpayments 52

Overpayments Overpayment Fraud Compliance 52

MedTrainer

JULY 28, 2023

That mean, maintaining compliance standards, efficient reporting, and conducting thorough internal audits are vital. By conducting audits and evaluations, the HHS-OIG promotes accountability and transparency while protecting the integrity of these federally funded health programs. These complaints can trigger an audit.

Fraud 98

Fraud Compliance Medicaid Medicaid 98

Medisys Compliance

NOVEMBER 1, 2023

Effective medical billing is essential for healthcare organizations to maintain financial stability and ensure accurate reimbursement. One critical aspect of the medical billing process is accurate charge entry. Inaccurate charge entry can lead to claim denials, delayed payments, and potential legal ramifications.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicaid 59

Verisys

JUNE 8, 2023

Data Compliance: How to Identify and Close Data Risk Gaps Using Technology A three-part compliance series that focuses on using technology to help you achieve your compliance goals. Hiring a provider with red flags, even if in the past, can put your organization at risk for non-compliance.

Compliance 52

Compliance Fraud Licensing Medicare 52

MedTrainer

JANUARY 10, 2024

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. We all should be a LOT more prepared!

Compliance 94

Compliance Fraud HIPAA Compliance Officers 94

Provider Trust

APRIL 14, 2023

This can be accomplished either through a credential verification organization (CVO), an internal system with or without a manual verification process, or a hybrid approach with an automated compliance monitoring and verification platform like ProviderTrust. Regardless of your approach, the credentialing process can be quite complex.

Licensing 52

Licensing Compliance Malpractice Medicaid 52

HIT Consultant

JUNE 15, 2023

These tools take advantage of natural language processing, deep learning, and other advancements that enable results far superior to the rules-based robotic process automation of the prior generation. For example, take medical coding. Here, automation presents compelling benefits. This is a costly mistake.

52

52

Compliancy Group

SEPTEMBER 29, 2022

When HIPAA was signed into law in 1996, modernizing and streamlining medical records access goals were part of the primary focus of the law. How an organization manages patients’ protected health information (PHI), both in physical and electronic ( ePHI ) formats, is the core of HIPAA compliance. . We can help! Find Out More!

HIPAA 52

HIPAA Compliance 52

Compliancy Group

NOVEMBER 13, 2023

In any industry or workplace setting, ensuring the safety and well-being of employees is paramount. Employers are responsible for establishing and maintaining a safe work environment, adhering to guidelines set forth by the Occupational Safety and Health Act (OSHA). One crucial aspect of this is implementing effective OSHA work practice controls.

Compliance 52

Compliance 52

Healthcare IT Today

JANUARY 19, 2024

Check out our community’s predictions below and be sure to add your own thoughts and/or places you disagree with these predictions in the comments and on social media. As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions.

Hospitals 99

Hospitals Governance FDA Licensing 99

Healthcare IT Today

JULY 28, 2023

The following is a guest article by Dave DeCaprio, Co-Founder and Chief Technology Officer at ClosedLoop No matter where you look – from TikTok filters to the latest ChatGPT release – artificial intelligence (AI) has a profound and growing impact on our daily lives. AI has the potential to transform the ever-growing healthcare industry.

Health Outcomes 87

Health Outcomes Doctors Nurses Hospitals 87

Healthcare IT Today

MAY 16, 2024

Mike Semel, President and Chief Security Officer of Semel Consulting The Ascension health system data breach can’t be easily separated from the United Healthcare Change Health breach that recently caused a huge financial and medical impact across the healthcare sector and may have breached the personal information for a third of Americans.

Ransomware 62

Ransomware US Department of Health and Human Services Hospitals Compliance 62

Provider Trust

JULY 26, 2022

This resulted in the practice submitting at least $147,000 in fraudulent claims for reimbursement to Medicare and numerous private insurance companies. So, how could this situation have been avoided? So, how could this situation have been avoided? According to the U.S. One idea would be to start with quarterly verifications.

Licensing 52

Licensing Fraud Compliance Nurses 52

Healthcare IT Today

AUGUST 28, 2023

Mimi Winsberg, Co-Founder and Chief Medical Officer at Brightside Health We have been in an uncertain time for regulation around telemedicine, and there are a few key trends to watch. We need to refine the Ryan Haight Act to develop a telemedicine registry that can safely prescribe controlled medication virtually.

US Department of Health and Human Services 111

US Department of Health and Human Services Telemedicine Hospitals Compliance 111

Provider Trust

MARCH 13, 2023

In an interview with Yahoo News , Porrass revealed that undercover agents were used to investigate the fake degree claims. The scheme was first brought to authorities’ attention when a Florida state audit identified poor NCLEX passing rates at the three aforementioned nursing programs. They just paid the amount.”

Fraud 52

Fraud US Department of Health and Human Services Licensing Compliance Officers 52

MedTrainer

AUGUST 2, 2023

This promotes patient safety and reduces the likelihood of medical errors. Thoroughly reviewing and verifying credentials helps organizations identify any gaps or issues that may pose risks to patient safety, such as expired licenses or malpractice claims. This is why credentialing management is so important. Enhanced Patient Safety.

Malpractice 97

Malpractice Compliance Licensing Due Diligence 97

MedTrainer

AUGUST 2, 2023

Medical auditing is critical in understanding why errors occur and how providers can prevent them in the future. The primary objective of medical auditing is to identify any discrepancies, errors, or deficiencies in documentation or practices that could impact patient care.

Compliance 52

Compliance ACA Medicaid Medicaid 52

AIHC

MARCH 22, 2022

Written by: AIHC Blogger Too many denied claims to manage? This article provides a basic overview of the importance of improving your appeals process to get denials overturned as it relates to overall revenue cycle management. Automated processes can help ensure your practice has lower denial rates and healthy cash flow.

Overpayments 52

Overpayments Overpayment Compliance Medicare 52

Healthcare IT Today

JUNE 27, 2023

It seems as though every day we have some kind of new technology or a breakthrough in how technology can be used in healthcare. How can we be using technology to optimize RCM? And with each new development, we open a door for new ways for that technology to be used and adapted.

Health Outcomes 86

Health Outcomes Fraud Hospitals 86

HIT Consultant

JUNE 1, 2023

It has truly transformed the patient experience with portals for convenient appointment scheduling, viewing of medical records, and the ability for patients to easily communicate with their providers. It’s never too late to optimize your existing platform. Epic’s EHR is a truly invaluable asset when used to its fullest potential.

Regulatory Compliance 52

Regulatory Compliance Patient Satisfaction Compliance HIPAA 52

Total HIPAA

MARCH 29, 2023

The Path of a Text Although sending a text seems like a simple act, your messages travel a long and winding path to their recipient. Other entities have the power to intercept your text at many points along the way. Other entities have the power to intercept your text at many points along the way.

HIPAA 98

HIPAA Compliance Hospitals COVID-19 98

Hall Render

FEBRUARY 2, 2024

NATIONAL Amazon Pharmacy, One Medical pilot program integrates medication consultations Bad news for FTC’s noncompete ban Cigna to sell Medicare business to HCSC for $3.3B

Nursing Homes 40

Nursing Homes US Department of Health and Human Services Nurses Hospitals 40