Medisys Compliance

NOVEMBER 16, 2023

Introduction Efficient medical billing is a critical aspect of managing a successful podiatry practice. Podiatrists, specializing in foot and ankle health, often face unique challenges in navigating the complex landscape of medical billing. Underpayments can have a significant impact on a podiatrist’s bottom line.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Health Insurance 59

Medisys Compliance

MAY 10, 2023

However, in recent years, the issue of balance billing has become a major concern for both patients and providers. In response to this issue, the Virginia state government has introduced balance billing protection laws to safeguard patients from unexpected medical bills. What is Balance Billing?

Medical Billing 52

Medical Billing Medical Billing Outsourcing Compliance Medical Billing Services 52

Healthcare IT News - Telehealth

OCTOBER 17, 2023

We interviewed Dr. Peter Small, chief medical officer at Hyfe AI, a vendor of AI algorithms that arm remote patient monitoring technologies, including for cough tracking, to talk about these very issues. These models are intensely data hungry and thus it is not surprising that the first "language" was data-rich images.

Doctors 139

Doctors FDA Hospitals 139

Kaiser Health News

MAY 27, 2022

Having just moved back to San Antonio, the 30-something searched for a doctor to manage her Crohn’s disease, an inflammatory bowel condition that is successfully managed with medications and lifelong monitoring — including regular colonoscopies. Medication treatments alone can cost tens of thousands of dollars annually.

Doctors 114

Doctors Nursing Homes Nurses Medicare 114

HIT Consultant

SEPTEMBER 19, 2021

A man gets hit with a $30,000 bill for ACL reconstruction surgery. People around the country receive Covid-19 test bills ranging from a few dollars to more than $1,000—and to make things worse, they aren’t supposed to receive a bill, anyway. Surprise billing in healthcare is a nightmare, and it happens all the time.

COVID-19 52

COVID-19 Hospitals Medical Billing Health Outcomes 52

Bill of Health

APRIL 29, 2022

In fact there is only one employment reentry program , InSPIRE , for survivors of critical illness documented in peer-reviewed medical literature. Long COVID exposes an often-unacknowledged facet of disability: that one is far more likely to develop a disability than be born with one. Based in Scotland, InSPIRE’s results were astounding.

ADA 157

ADA Hospitals Health Insurance Nurses 157

Health Populi

APRIL 27, 2020

who have had their income impacted by the coronavirus have either fallen behind in paying off credit card debt or other bills, had problems paying for utilities, have lagged in paying for housing (rent or mortgage), been challenged paying for food, or other out-of-pocket costs. Some 1 in 2 people in the U.S. This, when U.S.

COVID-19 93

COVID-19 Health Insurance Medical Billing Hospitals 93

Medisys Compliance

JANUARY 3, 2023

It’s difficult to ensure that your practice is paid for the services performed at the medical setting. Let’s face it, without a strong revenue cycle, a medical setting just cannot stay operational and tap profits. The billing process can be made much more efficient with the use of technology.

Medical Billing Outsourcing 52

Medical Billing Outsourcing Medical Billing Medical Billing Services Electronic Medical Records 52

Kaiser Health News

MAY 31, 2022

So she thought she was done with many patients’ least favorite medical obligation for several years. Then the bill came. Medical Service: A screening colonoscopy, including removal of a benign polyp. Total Bill: $10,329 for the procedure, anesthesiologist, and gastroenterologist. It too was benign.

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ACA Doctors Medical Billing Hospitals 106

HIT Consultant

DECEMBER 1, 2023

This is not surprising. The insurance information required can be far more extensive than the patient has readily available. Complicating matters is that it can be difficult for a patient to put the right information in the patient portal or application that determines authorization, according to the American Medical Association.

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YouCompli

NOVEMBER 1, 2023

The problem with engaging in such behavior as a compliance officer is that to some degree, our job title sends a message that the goal of our job is to do this. Let’s imagine someone is conducting an audit involving the review of medical-necessity documentation for physical therapy services.

Compliance 52

Compliance US Department of Health and Human Services Compliance Officers Overpayments 52

Healthcare Law Today

JANUARY 20, 2022

This news comes as a relief to the provider community that has been working to understand the new notice and disclosure requirements that largely took effect simultaneously with the Federal No Surprises Act on January 1, 2022. The federal government promulgated the No Surprises Act, which we discussed in prior blog posts here and here.

Patient Advocacy 52

Patient Advocacy Nursing Homes Nurses Doctors 52

Health Populi

SEPTEMBER 4, 2018

Most Americans have been surprised by a medical bill, a NORC AmeriSpeak survey found. patients blamed doctors and pharmacies, although a majority of consumers still put responsibility for surprise healthcare bills on them (71% and 64% net). Who’s responsible? The poll was conducted among 1,002 U.S.

Medical Billing 47

Medical Billing Health Insurance Doctors Hospitals 47

AIHC

MAY 2, 2022

It is important to include the aspect of the No Surprises Act, which complicates the situation for both providers and patients. Autonomous Coding Automation tech is seeing increasing adoption, and there is a general perception that coding, billing, and accounts receivable problems will be solved through automation.

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COVID-19 HIPAA Hospitals Healthcare information Technology 98

Healthcare IT Today

JUNE 30, 2022

The following is a guest article by Jason Handza , DO, Chief Medical Officer at Nextech Systems. It is no surprise that healthcare providers and other clinical staff want to experience consistent and improved charting capabilities to deliver better patient care. Tailor the Charting and Data Review Experience.

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Compliance Regulatory Compliance HIPAA Hospitals 92

Verisys

MARCH 23, 2023

You may find this surprising, but as federal healthcare spending increases, so does the risk of abuse. You may find this surprising, but as federal healthcare spending increases, so does the risk of abuse. Doing so not only protects you as the provider and your organization, but also the American taxpayers, who pay the bill.

Fraud 52

Fraud Medicaid Medicaid Medicare 52

HIPAA Journal

NOVEMBER 28, 2022

This should come as no surprise given Amazon’s recent acquisitions and the company’s stated ambitions healthcare market. Haven was later shut down and was replaced by the Amazon Care program for its staff, which provides online and face-to-face medical services. Amazon’s Journey into Healthcare. Amazon is the ultimate disruptor.

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HIPAA Doctors Telemedicine Licensing 86

Healthcare IT Today

MARCH 19, 2023

Along with the challenge of inaccuracy, researchers noted that this poses problems related to surprise billing, delays in care, and misrepresentation of the breadth and depth of in-network providers. Not surprising RCM is also a popular use case for AI, with 78% of health systems currently using it or evaluating its use.

Telemedicine 78

Telemedicine Health Insurance Nurses Public Health 78

Health Populi

MAY 30, 2019

Health care costs rank ahead of Americans’ money-worries about low wages and availability of cash, paying for college, house payments, taxes, and debt, according to the latest Gallup poll on peoples’ most important family financial problems in 2019.

Medical Billing 66

Medical Billing 66

Healthcare IT News - Telehealth

AUGUST 19, 2020

THE PROBLEM. "As for staff education, training the staff in multi-departmental transitions was necessary for our patient-centered medical home status," said Jared M. "Then we had to ensure the correct coding and documentation was satisfactory for insurance billing purposes." " Jared M.

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COVID-19 Telemedicine Compliance HIPAA 175

Healthcare IT Today

JANUARY 23, 2023

The following is a guest article by Mike Noshay , MSE, Founder and Chief Strategy & Marketing Officer at Verinovum. Verinovum’s SWAT (Strategic Workforce and Tactics) team has been closely following these trends and has made predictions about how nine of them might play out in 2023. (Be

Medicare 86

Medicare Medicare 86

YouCompli

SEPTEMBER 6, 2023

But very quickly, as a compliance officer, I realized that I was managing multiple projects every day. I was responsible for allocating financial, human, and physical resources to accomplish certain tasks.   Once I embraced the fact that I was indeed a project manager, I needed to find ways to be as effective as possible.  And so are you.  

Compliance 52

Compliance US Department of Health and Human Services Compliance Officers Medicare 52

YouCompli

MARCH 15, 2023

For instance, if you’re implementing significant regulatory changes like responding to the No Surprises Act or considering how the end of the public health emergency affects your organization, you’ll want a robust project plan. In this article she discusses the life cycle of a project and offers ideas for successful project management.

Compliance 40

Compliance Compliance Officers Medicare Medicare 40

YouCompli

SEPTEMBER 15, 2022

In other organizations, particularly in an academic medical setting, ethics issues may have different investigative mechanisms dependent upon who the alleged wrongdoer is. In other organizations, particularly in an academic medical setting, ethics issues may have different investigative mechanisms dependent upon who the alleged wrongdoer is.

Compliance 52

Compliance Compliance Officers Hospitals 52

Health Populi

OCTOBER 3, 2018

Thus, the main takeaway from the study, KFF President and CEO Drew Altman noted, is that rising health care costs absolutely remain a burden for employers — but a bigger problem for workers in America. These two trends combine for a 212% increase in workers’ deductibles in the past decade. in the same period. in the same period.

Telemedicine 62

Telemedicine Health Insurance Medical Billing 62

Healthcare IT Today

FEBRUARY 2, 2023

The New York Times claimed eight of the 10 largest Medicare Advantage insurers had padded their bills. In most of these situations, the problems boiled down to one central issue: ineffective policies and procedures to prevent, detect, and correct noncompliance. To that end, the agency doubled its budget for audits in 2022.

Medicare 59

Medicare Medicare Medicaid Medicaid 59

Hall Render

SEPTEMBER 1, 2023

ALABAMA American Family Care opens new health care center in Northeast Birmingham doctors secure $13.9M Newsom announces distressed hospital loan program Kaiser Permanente frontline workers strike could begin Oct.

COVID-19 40

COVID-19 Nurses Nursing Homes Hospitals 40

Hall Render

JUNE 10, 2022

Lawmakers introduce bill criminalizing violence, threats against hospital employees. Medical malpractice trends in Northwest Arkansas. California bill to allow teens to consent to COVID vaccines without parental approval moves forward. Barton moves forward with Stateline medical campus expansion. CALIFORNIA. CONNECTICUT.

COVID-19 40

COVID-19 Nursing Homes Nurses Hospitals 40

Healthcare IT News - Telehealth

NOVEMBER 13, 2023

THE PROBLEM For a children’s hospital, this meant that often for the first time, parents and/or extended family could attend a doctor’s visit virtually and take a more active role in the care of their children. Higginson, executive vice president and chief innovation officer at Phoenix Children's Hospital.

Telemedicine 176

Telemedicine Hospitals Doctors COVID-19 176

Healthcare IT News - Telehealth

JANUARY 3, 2023

THE PROBLEM. With nearly a decade of successfully running a virtual ICU and a virtual care hospital known today as Mercy Virtual Care Center , Mercy in St. Louis, Missouri, embarked on amplifying a new digital-first frontier in 2015: A new virtual care model of remote patient monitoring for patients living with complex conditions.

Hospitals 179

Hospitals Patient Satisfaction Nurses Telemedicine 179

Healthcare IT Today

JANUARY 16, 2024

Florian Otto, CEO and Co-founder at Cedar Healthcare Affordability: Healthcare affordability will always be a problem, and it remains to be seen if 2024 will be better or worse than 2023. Patient Loyalty: We recently surveyed 1,200 healthcare consumers and found that the billing experience is a key driver of patient loyalty.

Doctors 121

Doctors Hospitals Health Outcomes Patient Satisfaction 121

Healthcare IT Today

JANUARY 5, 2024

And with national healthcare spending reaching a full 18% of GDP, that isn’t surprising. And with national healthcare spending reaching a full 18% of GDP, that isn’t surprising. As we kick off 2024, we wanted to start the new year with a series of 2024 Health IT predictions.

Nurses 115

Nurses Medicare Medicare Health Outcomes 115

Healthcare IT Today

AUGUST 8, 2023

Digital Health, as an industry, already made the mistake in the 2010s of “death by one thousand cuts” – creating a point solution for every problem. The following is a guest article by Erica Jain, Co-Founder and CEO at Healthie ChatGPT has been dominating headlines since its release in November.

Doctors 93

Doctors Licensing Hospitals 93

Healthcare IT News - Telehealth

MARCH 26, 2021

Hospitals across the country have been slammed with challenges over the course of the past 12 months as the COVID-19 pandemic has ravaged the U.S., creating all kinds of chaos for CIOs and other health IT leaders to contend with. While juggling all of these challenges during this most unusual period, executives have learned many valuable lessons.

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US Department of Health and Human Services Hospitals COVID-19 Telemedicine 192

Health Law RX

SEPTEMBER 27, 2023

By looking at the events that have transpired since the Consolidated Appropriations Act, 2021, which includes the No Surprises Act (the Act) , was signed into law, it is clear that the Departments of Health and Human Services, Labor, and Treasury (collectively, the Departments) have lost their way.

Medical Billing 52

Medical Billing Hospitals Medicaid Medicaid 52

HIT Consultant

JANUARY 16, 2023

To me, the biggest surprise of 2022 was that despite the market tanking, digital health companies continued to truck forward with huge deals. This does not solve the problem at the root of the poor American healthcare experience: a uniquely disconnected ecosystem that fails patients and providers.

Nurses 98

Nurses FDA Health Insurance Overpayments 98

HIT Consultant

APRIL 24, 2023

Subha Airan Javia, MD, FAMIA Jackson Steinkamp, MD Electronic medical records (EMRs) – software systems where physicians, nurses, and other healthcare workers store, retrieve, and act on clinical data – are fundamentally broken. Patients feel it too – we’ve lost count of the number of times we’ve heard “isn’t it in my chart?”

Hospitals 98

Hospitals Electronic Medical Records Doctors Nurses 98