Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% or $16 billion in 2025 over 2024 in expected MA payments. generics) beginning in 2025 [1]. generics) beginning in 2025 [1]. The annual cost of a GLP-1 agent is around $13,600.

Medicare 59

Medicare Medicare COVID-19 Hospitals 59

HIT Consultant

OCTOBER 16, 2023

Eric Demers, CEO of Madaket Health The No Surprises Act (NSA) is a bipartisan effort to protect patients from unexpected healthcare expenses. The NSA aims to make the cost of care more transparent and minimize surprise billing, which can cause significant financial burdens through higher out-of-pocket expenses and denied claims.

Compliance 104

Compliance Governance Medical Billing 104

Innovaare Compliance

APRIL 7, 2024

The Centers for Medicare & Medicaid Services (CMS) officially announced capitation rates for Medicare Advantage (MA) plans for CY 2025 – average increase of 3.7% or $16 billion in 2025 over 2024 in expected MA payments. generics) beginning in 2025 [1]. generics) beginning in 2025 [1]. The annual cost of a GLP-1 agent is around $13,600.

Medicare 52

Medicare Medicare COVID-19 Hospitals 52

Healthcare It News

JUNE 9, 2022

According to the Department of Health and Human Services, the U.S. Primary care in the U.S. is at a unique inflection point. On one hand, the value of primary care physicians has never been higher. On the other hand, the threats to primary care have never been greater. What is the state of U.S. primary care today? Is it failing in any places?

US Department of Health and Human Services 259

US Department of Health and Human Services Nurses Health Outcomes Doctors 259

AIHC

NOVEMBER 7, 2023

Written by: James Smith Introduction In the complex world of healthcare billing, mental health services require a tailored approach due to the unique nature of the field. With the year 2023 underway, mental health billing services face challenges and opportunities. This preemptive step helps prevent denials linked to coverage issues.

Medical Billing 52

Medical Billing Compliance 52

AIHC

NOVEMBER 7, 2023

Written by: James Smith Introduction In the complex world of healthcare billing, mental health services require a tailored approach due to the unique nature of the field. With the year 2023 underway, mental health billing services face challenges and opportunities. This preemptive step helps prevent denials linked to coverage issues.

Medical Billing 52

Medical Billing Compliance 52

Healthcare IT Today

JULY 13, 2023

The following is a guest article by Clarissa Riggins , Chief Product Officer at Experian Health Patients have increasingly high expectations for easy and efficient tech-enabled solutions when it comes to accessing healthcare services.

Patient Satisfaction 86

Patient Satisfaction Doctors Hospitals 86

HIT Consultant

NOVEMBER 28, 2022

The No Surprises Act (NSA) was meant to relieve the financial burden from consumers and help prevent unexpected, and sometimes massive, healthcare bills – a goal that providers, payors and the industry at large can get behind. But a recent survey from Morning Consult found that one in five patients will still receive a surprise bill.

Doctors 89

Doctors Medicaid Medicaid Medicare 89

HIT Consultant

JUNE 12, 2023

With a recession, this will likely worsen adding to it an increase in behavioral health, leaving more patients vulnerable to seek the care needed without the financial means to pay for services. The first step is transparency into patient liability before services are rendered.

Medical Billing 96

Medical Billing Patient Satisfaction COVID-19 Hospitals 96

HIT Consultant

SEPTEMBER 26, 2023

Theresa Hush, CEO and Co-founder of Roji Health Intelligence Given Artificial Intelligence’s potential to improve patient care and reduce costs, it’s no surprise that AI applications are gaining momentum in health care. But pressure on ACOs to achieve savings is spurring consideration of machine assistants for customary clinician services.

Medicaid 97

Medicaid Medicaid 97

Health Care Law Brief

NOVEMBER 9, 2021

This post reviews Part II of the federal No Surprises Act regulations. In previous publications, we have commented upon the No Surprises Act , and Part I of the regulations. By way of background, the No Surprises Act and its implementing regulations provide new federal protections against surprise medical billing.

Medical Billing 75

Medical Billing Due Diligence Compliance Patient Satisfaction 75

HIT Consultant

SEPTEMBER 16, 2022

In this context, it’s no surprise that digital impressions matter more than ever. Additionally, patients will not adopt digital health services if they are perceived as insecure. Additionally, patients will not adopt digital health services if they are perceived as insecure. Robert Eckel, President and CEO, Aware.

Governance 93

Governance COVID-19 HIPAA Nurses 93

Healthcare It News

JULY 26, 2023

"It isn’t surprising that people expect a similar and reasonable amount of digital ease from their healthcare providers as experienced with other consumer services," said Shannah Koss, consumer advocate, president of Koss on Care and co-chair of the workgroup.

Doctors 194

Doctors Hospitals 194

Healthcare IT Today

DECEMBER 17, 2023

A survey from Turquoise Health found prices for “shoppable services” in healthcare are increasing roughly at the pace of inflation , though some vaccines have seen price increases of more than 20%. Medically Home added Arcadian Health , a Louisiana-based mobile health service, to its network.

Hospitals 96

Hospitals Nurses Compliance Regulatory Compliance 96

Healthcare IT Today

JANUARY 17, 2024

In this article I interview three high-level executives who made the transition from the clinical IT setting—running hospitals—to digital IT settings that develop health apps and services. Lahr advises senior managers to “consider your mission-driven goals.” Why Leave the Clinical Setting for Health IT Development?

Hospitals 108

Hospitals Doctors Governance 108

Kaiser Health News

JANUARY 25, 2024

By law, preventive services — including routine colonoscopies — are available at zero cost to patients. Medical Services: Two routine colonoscopies (one for him, one for her), as recommended by the U.S. Preventive Services Task Force for patients beginning at age 45. Service Provider: Illinois Gastroenterology Group in Hinsdale.

Medical Billing 137

Medical Billing Doctors Health Insurance Hospitals 137

Healthcare IT News - Telehealth

NOVEMBER 4, 2021

Sixty percent of healthcare C-suite and clinical leaders see remote patient monitoring becoming a new standard of care over the next two years, according to a new study released today by WebCareHealth , a company that delivers solutions to remotely monitor patients managing chronic illnesses. This is significant.

Hospitals 163

Hospitals 163

Provider Trust

JULY 26, 2023

When patients need care, they search through a provider directory to find someone in their healthcare network or plan that can provide them with the medical services they need. This data is relied upon daily – not just by patients seeking care but also for credential monitoring purposes, coordinating benefits, and more.

Medicaid 52

Medicaid Medicaid Compliance Medicare 52

HIT Consultant

NOVEMBER 13, 2023

hours entering electronic health records (EHR data), and managing patient loads of 2,000 or more. In addition, teams will want to train models on annotated data sets; implement LLMOps processes; and plan for adequate change management, to ensure businesses and teams adopt new solutions. Ravindra Patil, Sr. In 2021, 62.8%

US Department of Health and Human Services 106

US Department of Health and Human Services COVID-19 Fraud Nurses 106

HIT Consultant

JUNE 21, 2023

While this may come as no surprise, it was interesting to hear about some of the different challenges organizations are facing and the technologies being considered to solve them. Attendees I talked to spoke of the need for faster, lower cost, straight-through processing of documents and forms and better data insights and manageability.

Fraud 97

Fraud Health Insurance Compliance 97

HIPAA Journal

JANUARY 10, 2024

Stripe is not HIPAA compliant and – other than its payment processing services – should not be used by covered entities and business associates to create, collect, store, or transmit Protected Health Information (PHI). As well as its payment processing activities, Stripe provides billing, identity verification, and fraud management services.

HIPAA 69

HIPAA US Department of Health and Human Services Fraud Telemedicine 69

Healthcare IT Today

APRIL 3, 2023

According to an article in the Permanente Journal , “as many as 40% to 50% of patients who are prescribed medications for management of chronic conditions” don’t take their medications properly, or perhaps at all. The study attributes at least 100,000 preventable deaths each year to this problem.

Doctors 92

Doctors Hospitals Compliance 92

Healthcare IT Today

NOVEMBER 27, 2022

A survey from symplr and CHIME found that 60% of CIOs are managing more than 50 point solutions to manage healthcare operations , with 24% of organizations using at least 150 such applications. Online medical service marketplace MDsave has partnered with PatientGenie to create a care navigation product. Partnerships.

Hospitals 88

Hospitals Nurses 88

Healthcare IT Today

FEBRUARY 12, 2024

Scott Hondros, MHA, SCPM, Vice President of Services Commercialization & Strategy at CenTrak Healthcare organizations aim to strengthen communication channels. Leveraging health data, it engages patients in real-time, addressing issues that drive poor health and high utilization of health services.

Nurses 115

Nurses Hospitals Regulatory Compliance Doctors 115

Healthcare IT Today

OCTOBER 27, 2023

Tragically, for both moving in our own lives and moving our organization’s practices, we can’t always keep everything and sometimes we have to migrate to something newer to gain new benefits. Organizations are not going to be able to deliver that service and keep up with expectations if they’re using legacy systems.

Compliance 105

Compliance Regulatory Compliance Governance HIPAA 105

HIT Consultant

JANUARY 12, 2023

However, as technology has evolved, many practices have come to realize the benefits it can have on their business and bottom line. . Benefits of Adopting Technology to Accept Patient Payments. Here are the top benefits practices have realized after adopting a patient payment solution: . Speed up patient time to payment.

Patient Satisfaction 90

Patient Satisfaction HIPAA Medical Billing Compliance 90

Healthcare IT Today

MARCH 16, 2023

The following is a guest article by Dmitrii Evstiukhin , Director of Managed Services at Provectus In today’s world, personalized and efficient digital interactions are expected, especially in the healthcare industry. And the stakes are high. When done well, great customer experience improves customer satisfaction.

Medical Personnel 129

Medical Personnel Hospitals 129

AIHC

JANUARY 5, 2022

Written by: Joanne Byron , BS, LPN, CCA, CHA, CHCO, CHBS, CHCM, CIFHA, CMDP, COCAS, CORCM, OHCC, ICDCT-CM/PCS As a result of the 2021 Consolidated Appropriations Act, several No Surprises Billing Act regulations went into effect on January 1, 2022, for providers, facilities and air ambulance services.

Medical Billing 52

Medical Billing Health Insurance Hospitals Medicare 52

Healthcare IT Today

APRIL 25, 2023

In any given month, Amazon.com, the front door for one of the most successful technology companies in history, sees more than two billion visits. Now operating 32 clinics in five states, it recently announced significant expansion plans. For physician practices, payers, hospitals, and health systems, the takeaway is clear.

Hospitals 98

Hospitals Compliance Telemedicine 98

Medisys Compliance

NOVEMBER 16, 2023

Introduction Efficient medical billing is a critical aspect of managing a successful podiatry practice. The Challenges of Podiatry Billing Podiatry billing is a complex and ever-changing process, and podiatrists face several challenges in ensuring that they are reimbursed accurately and efficiently for their services.

Medical Billing 59

Medical Billing Medical Billing Outsourcing Patient Satisfaction Health Insurance 59

HIT Consultant

DECEMBER 13, 2022

– A global shortage of radiologists, technicians, and imaging service-line personnel . – Increasing demand for imaging services, especially outside of the hospital . Against this positive backdrop, however, the stark challenges facing radiology in a post-COVID world were very evident. Modality Predictions.

COVID-19 96

COVID-19 Hospitals 96

Medisys Compliance

AUGUST 31, 2022

Despite the growing need for mental health services, it is becoming increasingly more difficult for providers to receive fair compensation for their labor. Many different but specialized professions work in the field of mental health. With the advent of COVID-19 pandemic, the cases of mental health has been increasing day by day.

Medical Billing 98

Medical Billing Medical Billing Services Medical Billing Outsourcing Doctors 98

Medisys Compliance

MARCH 10, 2023

Challenges of Accounts Receivable in Orthopedic Billing Accounts Receivable (AR) is an important aspect of orthopedic billing, as it refers to the amount of money owed to an orthopedic practice by its patients and insurance companies for services rendered. Also use the correct diagnosis and treatment codes when billing for services.

Medical Billing 52

Medical Billing Medical Billing Outsourcing Medical Billing Services Medicare 52

Healthcare Law Blog

JANUARY 9, 2024

On the healthcare services side, NVIDIA mentioned GI Genius, which has an FDA approved AI-assisted endoscopy device that provides real-time identification and decision support to the provider conducting the endoscopy. At the first day of the J.P. Recognize that famous line? What did NVIDIA discuss?

Medicare 59

Medicare Medicare Hospitals Doctors 59

Healthcare It News

SEPTEMBER 13, 2021

Groups Recover Together is a national healthcare company for individuals with opioid use disorder. It's based in Burlington, Massachusetts. THE PROBLEM. Addiction is a disease of isolation. The success of Groups Recover Together's care model relies heavily on building a supportive community for its members. " PROPOSAL.

COVID-19 242

COVID-19 Telemedicine 242

Health Populi

FEBRUARY 5, 2023

Consumers’ wellness life-flows and demands in 2023 will go well beyond exercise resolutions, eating more greens, and intermittent fasting as a foodstyle. Two of the 12 trends deal with business and the workplace, illustrating the reality of the blur working people now have between their “9 to 5 lives” and home/social lives.

Governance 117

Governance Public Health 117

Healthcare IT Today

AUGUST 28, 2023

Stephen Sofoul, SVP, Data & Decision Science Services at MultiPlan A critical challenge lies in the shortage of experienced financial analysts or data analysts capable of effectively analyzing the wealth of information that the healthcare industry holds. However, with healthcare being ever-evolving our regulations are also ever evolving.

US Department of Health and Human Services 112

US Department of Health and Human Services Telemedicine Hospitals Compliance 112