HIT Consultant

APRIL 17, 2024

What You Should Know: Wolters Kluwer Health , a leading provider of healthcare information and analytics, has introduced a new weapon in the fight against potential financial penalties for Medicare Advantage Organizations (MAOs) – the Regulatory Audit Module. The Centers for Medicare & Medicaid Services (CMS) estimates a staggering $4.7

Medicare 52

Medicare Medicare Medicaid Medicaid 52

Healthcare IT Today

DECEMBER 7, 2023

” Based in Toronto , Semantic Health has made significant strides in streamlining manual auditing processes, reducing denials, and improving documentation quality for auditing teams. “This acquisition is a leap forward in our mission to elevate the quality and efficiency of healthcare.

Compliance Officers 91

Compliance Officers Health Insurance Hospitals Compliance 91

Healthcare IT Today

MAY 13, 2024

In a move towards transforming healthcare compliance, RFX Solutions , a trailblazer in SaaS compliance software for healthcare facilities, is proud to announce a $9 million Series A funding round led by Arthur Ventures. We’re thrilled to partner with RFX Solutions as they continue to grow and transform ASC operations.”

Compliance 82

Compliance Regulatory Compliance Governance 82

Compliancy Group

MAY 15, 2024

The healthcare landscape is fraught with complexities, and staying compliant involves understanding the OIG’s specific targets for hospital audits and crafting your OIG compliance program for your hospital with those in mind. Compliancy Group offers a robust compliance software solution that simplifies adherence.

Compliance 52

Compliance Hospitals Fraud Regulatory Compliance 52

Medisys Compliance

FEBRUARY 27, 2024

With a myriad of regulations and the potential for audits looming, radiologists and billing staff need to have a solid understanding of compliance requirements. Proper documentation not only ensures compliance but also supports the medical necessity of services rendered, reducing the risk of denials and audits.

Compliance 59

Compliance Medical Billing Outsourcing Medicare Medicare 59

HIPAA Journal

APRIL 2, 2023

Specific access and audit controls must be implemented to safeguard the integrity of PHI in emails. Regular email solutions do not cover these HIPAA requirements. While some solutions such as Office 365 can include email backups, these are not sufficient for full HIPAA email compliance. You can read the full review here.

HIPAA 96

HIPAA Compliance 96

Healthcare IT Today

MARCH 12, 2024

The solution uses a novel, medically aligned deep-learning approach to in-context learning for LLMs to provide actionable insights and auditable answers for today’s healthcare teams. After months of research and development, emtelligent will unveil the next generation of its medical AI platform at HIMSS24.

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HIT Consultant

MARCH 20, 2024

The HHS Office of Inspector General (OIG) recently reported that, from October 2014 through December 2016 , 153 audit reports were issued containing 193 overpayment recoveries totaling $648 million, largely due to errors in medical documentation. million (net) and $4.7 billion from 2023 through 2032, including extrapolation effects.

Overpayments 52

Overpayments Overpayment Medicare Medicare 52

Medisys Compliance

DECEMBER 1, 2023

This is where wound care coding audits come into play, serving as a critical tool for healthcare providers to identify and rectify errors, maintain compliance, and optimize revenue capture. External audits: Performed by independent auditors or regulatory agencies to assess compliance with coding guidelines and reimbursement policies.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Compliance Medical Billing Services 59

Healthcare Blog

JUNE 13, 2023

A healthcare policy management solution can help your employees remain compliant and decrease incidents that result in costly penalties. Another critical feature is an audit trail, which records all activities and changes. How Does Healthcare Policy Management Software Help with Policy and Procedure Compliance Reporting?

Compliance 101

Compliance 101

HIT Consultant

MAY 14, 2024

SmarterDx: Revolutionizing Healthcare Revenue Cycle Solutions with Clinical AI SmarterDx, which secured seed funding in 2022, utilizes clinical AI that uniquely comprehends clinical reasoning and offers complete auditability, empowering health systems to address their revenue integrity gap.

Hospitals 52

Hospitals 52

Bill of Health

DECEMBER 6, 2023

Considering these substantial consequences for patients’ access to mental health care, developing solutions to prevent ghost networks is critical. Federal legislative solutions The federal No Surprises Act , approved in 2021, mandates that health insurers update the information in their provider directory at least every 90 days.

Governance 144

Governance Medicaid Medicaid Medicare 144

HIPAA Journal

APRIL 19, 2024

Streamlined Workflows: Compliance software automates many administrative tasks related to compliance management, such as tracking compliance activities, scheduling self audits and managing documentation. Risk Management Self audit and external audit management Risk scoring Gap identification Remediation planning 3.

Compliance 52

Compliance Compliance Officers Regulatory Compliance HIPAA 52

Healthcare IT Today

APRIL 9, 2024

CodaMetrix , the leading artificial intelligence (AI) solution for transforming healthcare and revenue cycle management, today announced that it has closed its $40 million Series B funding round. Transformation Capital led the financing with continued support from existing investors SignalFire, Series A lead, and Frist Cressey Ventures.

Compliance 111

Compliance Doctors Hospitals 111

HIT Consultant

SEPTEMBER 17, 2021

and its advanced connected care solution. Its initial release focused on denials management and featured the Refyne Audits™ solution to streamline government audit workflows through the electronic submission of medical documentation. What You Should Know: Vyne Medical announced the acquisition of Ahana Pediatrics, Inc.,

Governance 98

Governance Hospitals 98

Innovaare Compliance

JANUARY 19, 2024

An overview of the routine program audits was updated in December 2023 and is available on the CMS website. [1] 1] Focused audits will be limited in scope and duration and will only test the Compliance Program Effectiveness (CPE) and Organization Determinations, Appeals, and Grievances (ODAG) program areas during focused audits.

Medicare 52

Medicare Medicare Compliance Medicaid 52

HIT Consultant

APRIL 19, 2024

What You Should Know: – RFX Solutions , a leading provider of SaaS compliance software for healthcare facilities, has announced a successful $9 million Series A funding round led by Arthur Ventures. Facilities often struggle with document mismanagement and spend excessive time preparing for audits and surveys.

Regulatory Compliance 52

Regulatory Compliance Compliance 52

Dot Compliance

MAY 3, 2024

This not only supports traceability and accountability but also helps maintain compliance with standards like 21 CFR Part 11, which is crucial during regulatory audits. Regular audits are critical in this regard, helping identify and prevent deviations from compliance standards. Not sure what to look for in an eQMS solution?

Pharmaceutical Industry 52

Pharmaceutical Industry Compliance Regulatory Compliance FDA 52

Compliancy Group

OCTOBER 6, 2023

This is where healthcare compliance audits come into play. By conducting regular audits, healthcare organizations can identify areas of non-compliance, mitigate risks, and improve overall patient safety. Safeguarding Patient Data One of the primary objectives of healthcare compliance audits is to protect sensitive patient information.

Compliance 52

Compliance Health Insurance HIPAA 52

HIT Consultant

DECEMBER 19, 2023

In addition, the strict regulatory requirements in the healthcare industry mean that IDP systems must ensure patient privacy protection and maintain audit trails. Clean and organize the data to ensure that it is in a format that can be processed by the IDP solution. They help eliminate manual eTMF entry while maintaining quality.

Pharmaceutical Industry 105

Pharmaceutical Industry Regulatory Compliance Compliance 105

HIT Consultant

FEBRUARY 14, 2024

What You Should Know: – DeepScribe , a leader in AI-powered medical documentation solutions, has announced its Trust and Safety Suite, a new set of features designed to ensure the transparency, safety, and ethical use of AI in healthcare. This data allows for monitoring and improvement of AI accuracy.

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Total Medical Compliance Resources

MARCH 2, 2023

Indian Trail, NC – March 2, 2023 / EINPresswire.com / – Total Medical Compliance (TMC), a leading provider of healthcare compliance solutions, is pleased to announce their partnership with EmergeOrtho. Support in the compliance process is available from online training through inspections and audits.

Compliance 85

Compliance HIPAA 85

Medisys Compliance

APRIL 28, 2024

Coding Audit Support: NLP can be used to analyze historical coding practices and identify potential areas for improvement during coding audits. Limited Adoption: NLP solutions are not yet universally adopted in radiology billing.

Medical Billing Outsourcing 64

Medical Billing Outsourcing Medical Billing Regulatory Compliance Compliance 64

Compliancy Group

FEBRUARY 22, 2023

Here are a few things you should consider when choosing an automated OSHA healthcare software solution. OSHA Healthcare Software – Assessments and Audits An effective OSHA software solution should offer self-assessments and audits that give you a clear picture of what’s currently happening in your practice.

Compliance 52

Compliance HIPAA 52

AIHC

MAY 7, 2024

Optimizing RCM across all payment and reimbursement models can reduce overhead and improve accuracy which results in allowing your RCM workforce to focus on financial counseling and other important area requiring personal interactions with your patients and conducting pre and post documentation and coding audits.

Compliance 52

Compliance Compliance Officers Fraud Doctors 52

MRO Compliance

JANUARY 24, 2024

Within our payer solutions we are enabling core health plan capabilities and improving functional operations through interoperable data connectivity across provider networks. By utilizing industry-leading solutions and incorporating the latest technology, MRO is helping providers and payers manage and exchange clinical data.

Hospitals 130

Hospitals 130

Medisys Compliance

APRIL 23, 2024

Embrace Automation and Technology Leverage Medical Billing Software: Invest in a robust medical billing software solution specifically designed for your practice’s needs. Automated Coding Tools: Utilize Computer-assisted Coding (CAC) or more advanced Artificial Intelligence (AI)-powered solutions to expedite and improve coding accuracy.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Medicare Medicare 59

Healthcare It News

JANUARY 30, 2024

"The combination of these two AI monitoring systems was designed to provide a comprehensive solution to optimally support teen and family engagement in their healthcare," Pageler explained. "We took immediate action, conducting further research to understand and address the issue.

Compliance 342

Compliance 342

MRO Compliance

APRIL 10, 2023

Leveraging the consensus-based Healthcare Effectiveness Data and Information Set (HEDIS) audit process to prospectively validate clinical data flows promotes trust in aggregated clinical data assets — and in the insights drawn from these data sources. Validation makes aggregated clinical data streams more valuable.

Hospitals 130

Hospitals 130

Verisys

MARCH 1, 2024

Automated workflows decrease error and omissions, allow for continuous monitoring, create transparency through a comprehensive audit trail, and maintain HIPAA privacy and security. Target heavy administrative burden and current audit findings. Automated risk management simplifies training and onboarding.

Governance 52

Governance Compliance Fraud HIPAA 52

Compliancy Group

MARCH 5, 2024

Currently, more than 2,700 organizations are using at least one or more corporate compliance software solutions. Reversing this issue is only one reason why healthcare compliance officers prioritize the use of corporate compliance software solutions. The reason this matters can be seen in the trends observed in the past few years.

Compliance 52

Compliance Compliance Officers 52

Medisys Compliance

MARCH 21, 2024

Reduced Audit Risks: EHR integration can create a clear audit trail, with all documentation linked together. This can streamline the auditing process and reduce the risk of errors during audits. Contact us today to learn more about how we can help your practice thrive with integrated billing solutions.

Medical Billing Outsourcing 59

Medical Billing Outsourcing Medical Billing Doctors Medical Billing Services 59

Compliancy Group

AUGUST 14, 2023

For example, a compliance program may include protocols for protecting patient information, guidelines for proper documentation and coding practices, and internal audit procedures to identify potential violations. Our proprietary methodology simplifies compliance tasks while promoting a culture of security within healthcare practices.

Regulatory Compliance 52

Regulatory Compliance Compliance Compliance Officers Fraud 52

American Medical Compliance

DECEMBER 21, 2023

With healthcare-specific cloud solutions, there are robust security measures, encryption, audit trails, and data access controls that are necessary to meet industry standards. With MedCore Solutions , you’ll work only with vetted healthcare experts and professionals tailored to your organization’s needs.

Compliance 97

Compliance HIPAA Telemedicine Health Insurance 97

Healthcare IT Today

APRIL 13, 2024

Read more… Connecting Healthcare Clouds and Simplifying Solutions in a Secure Way. At HIMSS 2024, John Lynn moderated a panel with Rackspace and Dell that highlighted the benefits and challenges of implementing and integrating multicloud solutions in healthcare , especially with it comes to hosted EHR. Million in funding.

Hospitals 99

Hospitals Nurses 99

HIT Consultant

JANUARY 16, 2024

Director, Product & Strategy, Patient Consent, IQVIA Technologies The clinical trials landscape continues to evolve and with it, an exponential growth in the adoption of electronic informed consent (eConsent) solutions. These solutions deliver a myriad of benefits for trial sponsors, sites and patients.

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Informed Consent Compliance Electronic Medical Records 110

Healthcare IT Today

MARCH 11, 2024

This post presents cost-effective cybersecurity solutions for healthtech leaders to consider. In turn, this approach mitigates the need for extensive reliance on insurance solutions. Regular security audits and assessments are another pillar of a cost-effective cybersecurity strategy. Let’s dive in.

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Ransomware Hospitals 108