Healthcare It News

JANUARY 23, 2025

As healthcare continues to advance with accountable care organizations and value-based care models, the industry is starting to see some real traction after a decade of groundwork in the form of CMS claims for the Medicare Shared Savings Program. There are some critical elements driving success here. The role of medication adherence and patient engagement are pivotal factors for continuing to achieve ACO and VBC goals.

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Medicare Medicare Hospitals Doctors 317

Healthcare IT News - Telehealth

JANUARY 21, 2025

Chase County Community Hospital has faced a number of challenges similar to those confronted by many other rural health systems. Chief among them was a growing shortage of physicians, a problem projected to worsen in the coming years. THE CHALLENGE Chase is a 15-bed critical access hospital in Imperial, Nebraska. Like many rural healthcare organizations, the facility relies heavily on advanced practice providers – nurse practitioners and physician associates.

Telemedicine 178

Telemedicine Hospitals Nurses Regulatory Compliance 178

MRO Compliance

JANUARY 7, 2025

As the healthcare industry faces increased scrutiny, especially in medical coding accuracy and regulatory compliance, recent surveys reveal that many professionals are concerned with issues like upcoding, audit discrepancies, and the integration of artificial intelligence in coding practices. According to a Black Book survey , 90% of HIM professionals believe that upcoding is a significant ethical concern, while 85% say that discrepancies identified during coding audits often lead to denied clai

US Department of Health and Human Services 173

US Department of Health and Human Services Compliance Regulatory Compliance Fraud 173

Bill of Health

MARCH 20, 2025

Addiction Marching Toward Gambling Madness (Pt. 1) Its time to fill your bracket and brush up on your ball-knowledge: March Madness is here. The iconic college basketball tournament has been a staple of the sports calendar for nearly a century, but the stakes of this year’s tournament are higher than ever before. Published March 20, 2025 Author Spencer Andrews Share Share on LinkedIn Share on X Share on Bluesky Share on Facebook Its time to fill your bracket and brush up on your ball-knowl

Governance 162

Governance Public Health 162

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Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.

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Healthcare IT Today

JANUARY 15, 2025

The following is a guest article by Ty Greenhalgh, Industry Principal of Healthcare at Claroty Cybersecurity in the healthcare sector faces persistent challenges despite increasing awareness and the implementation of targeted guidance, such as the HHS Healthcare and Public Health (HPH) Cybersecurity Performance Goals (CPGs) , which are nearing their one-year mark.

Public Health 136

Public Health Hospitals 136

Healthcare Dive

JANUARY 29, 2025

Robert F. Kennedy Jr. incorrectly said that Medicaid was fully funded by the federal government and that Medicare is a fee-for-service program during a hearing in front of the Senate Finance Committee on Wednesday.

Medicaid 356

Medicaid Medicaid Medicare Medicare 356

American Medical Compliance

JANUARY 14, 2025

A 2023 systematic review published in BMC Nursing revealed a strong connection between clinical nurse competence and patient safety culture, underscoring the transformative impact of comprehensive training on nursing skills. Restorative nursing stands as a cornerstone of healthcare, dedicated to enhancing patients’ quality of life by helping them regain or maintain their highest levels of function and independence.

Nurses 105

Nurses Compliance Patient Satisfaction 105

Digital Health News

JANUARY 22, 2025

Barking, Havering and Redbridge University Hospitals NHS Trust will trial a whole-brain computer interface to modulate brain-wide activity.

Hospitals 122

Hospitals 122

Compliancy Group

FEBRUARY 26, 2025

In January 2025, the Department of Health and Human Services’ Office for Civil Rights received 70 reports of large-scale data breaches (affecting more than 500 patients) in the healthcare sector, impacting the protected health information of approximately 2,768,422 patients. As is often the case, hacking incidents were the leading cause behind the months reported breaches.

Compliance 95

Compliance HIPAA Regulatory Compliance Health Insurance 95

HealthIT Answers

MARCH 5, 2025

By Ashay Thakur - Data interoperability remains one of the biggest hurdles to efficient, cost-effective, and high-quality healthcare. That is especially true for long-term care facilities, where patients often reside for extended periodssometimes for the remainder of their lives or until they transition to hospice care. The post Fusing the Data Divide in Long-Term Care appeared first on Health IT Answers.

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Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.

Medicaid

Healthcare It News

JANUARY 3, 2025

Hospitals and health systems have been discussing digital-first patient engagement for a while now, but fewer organizations than you might think have made huge strides forward on that front. Likewise, data-driven decision-making is a phrase that's been tossed around quite a bit in healthcare, but in many cases it's a dream that's yet to become reality.

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Health Outcomes Hospitals Medical Billing 321

Healthcare IT News - Telehealth

JANUARY 27, 2025

Clinical documentation requirements can be copious and time-consuming. While concurrent documentation is taught and encouraged, it is a skill that takes time to master – and even when done well can cause a clinician to feel or appear distracted during a patient visit. THE CHALLENGE Trying to actively listen and provide quality care while having to focus on recording accurate and complete details of a conversation in a note can be challenging even for an experienced therapist.

Telemedicine 177

Telemedicine Compliance 177

MRO Compliance

MARCH 20, 2025

Imagine a healthcare organization committed to improving patient outcomes while controlling costs. They have the right intentions, yet gaps in care coordination lead to preventable hospital readmissions, and they struggle to meet the quality benchmarks required for value-based care contracts. The challenge? Their data is fragmented across multiple systems, making it difficult to gain a comprehensive picture of their performance and where to improve.

Hospitals 147

Hospitals Compliance 147

Bill of Health

FEBRUARY 27, 2025

Artificial Intelligence Mind over Machine: Navigating the Legal and Ethical Frontier of Neurotech Picture a world where a patient suffering from a debilitating neurological disorder receives not only a diagnosis but also a bespoke brain implant designed to restore lost function. Published February 27, 2025 Author Abeer Malik Share Share on LinkedIn Share on X Share on Bluesky Share on Facebook Picture a world where a patient suffering from a debilitating neurological disorder receives not only a

Informed Consent 147

Informed Consent HIPAA Health Insurance 147

Speaker: Jennifer Hill

Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.

Compliance

Healthcare IT Today

JANUARY 10, 2025

The Company Comes Out of Stealth with $5M and in Collaboration with 25+ Partners to Support Transparent and Accessible Data Analytics Tuva Health , the world’s first open-source healthcare data transformation platform, launched out of stealth today with $5M in seed funding. The company offers payers, providers, and pharmaceutical companies the ability to transform claims and EHR datasets into analytics-ready data tables via an open-source data model with built-in normalization, data qualit

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Healthcare Dive

MARCH 11, 2025

The continuing resolution left in place a physician pay cut from Jan. 1, despite lobbyists’ hopes lawmakers would reverse it.

Medicare 332

Medicare Medicare 332

HIT Consultant

JANUARY 27, 2025

Andrea Greco, SVP of Healthcare Safety, CENTEGIX Jennifer Schmitz, MSN, EMT-P, CEN, CPEN, FNP-C, NE-BC, VP of Client Engagement, Engage, powered by the ENA De-escalation is a critical skill in healthcare, particularly in environments where emotions run high, and patients and their families may be under significant stress. Effective de-escalation requires not only the ability to manage conflict but also an understanding of human emotions, empathy, and a well-practiced response to high-tension sit

Nurses 102

Nurses Hospitals 102

American Medical Compliance

JANUARY 8, 2025

Nursing homes should serve as sanctuaries of care, compassion, and safety for the elderly and vulnerable. Yet, abuse within these settings remains a pervasive and often hidden crisis, impacting countless individuals worldwide. Alarmingly, approximately 1 in 6 individuals aged 60 or older have experienced some form of abuse in community settings, including nursing homes, according to the World Health Organization (WHO).

Nursing Homes 105

Nursing Homes Nurses Elder Care Compliance 105

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Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.

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Hall Render

FEBRUARY 17, 2025

According to a statement released on the Center for Medicare and Medicaid Services (CMS) website, effective February 14, 2025, implementation of the Hospice Special Focus Program for calendar year 2025 has ceased so that CMS may further evaluate the program. Hospice Special Focus Facility Program (SFP) The Consolidated Appropriations Act of 2021 called for CMS to create and implement a SFP for poor-performing hospices that includes using a data-driven algorithm to identify indicators of poor hos

Medicare 89

Medicare Medicare Nursing Homes Medicaid 89

Compliancy Group

JANUARY 15, 2025

On January 14, 2025, the Department of Health and Human Services (HHS) Office for Civil Rights (OCR) announced a HIPAA phishing settlement with Solara Medical Supplies, LLC (Solara). Solara, a direct-to-patient diabetes care supplier, filed a breach report in November 2019 regarding a phishing incident, launching an OCR investigation. While not all breaches result in OCR settlements, when an organization fails to meet HIPAA requirements, it is often subject to civil monetary penalties and correc

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HIPAA Due Diligence Compliance 98

Electronic Health Reporter

MARCH 7, 2025

This article is copyrighted strictly for Electronic Health Reporter. Illegal copying is prohibited. Electronic health record (EHR) vendors are accelerating their adoption of artificial intelligence, aiming to enhance clinician workflows, improve patient care, and remain competitive in an evolving healthcare landscape. Leaders including Epic and Oracle are integrating […] The article EHR Vendors Embrace AI to Transform Healthcare Workflows appeared first on electronichealthreporter.com.

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Healthcare It News

JANUARY 21, 2025

As the healthcare industry faces growing patient demand , artificial intelligence (AI) and automation are giving hospitals and health systems the opportunity to rethink how they deliver care. However, many organizations struggle with where and how to deploy these technologies. “AI is not a hammer looking for a nail,” emphasized Dave Henriksen, Head of Value Based Care at Notable.

Compliance Framework 305

Compliance Framework Governance Hospitals Compliance 305

Advertiser: Celo

Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.

Hospitals

Healthcare IT News - Telehealth

JANUARY 8, 2025

The past year saw varying levels of digital transformations going around the health systems in Asia-Pacific. It has increasingly become evident that digitalisation – from nationwide networks down to individual hospitals – has become the rule in a post-pandemic world. AI and virtual care models continued to be the craze in healthcare, owing to their clear support for improving clinician productivity and patient outcomes.

Telemedicine 186

Telemedicine Governance Health Outcomes Hospitals 186

MRO Compliance

JANUARY 2, 2025

The secure exchange of sensitive patient data is a top priority for healthcare organizations. 2024 exposed healthcares privacy and security vulnerabilities with three of the nations largest data breaches to date: Change Healthcare, Ascension and Kaiser Permanente. And last year, patient safety and quality ranked 5.9 out of 11 in the list of health system executives concerns.

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Bill of Health

FEBRUARY 24, 2025

Artificial Intelligence Europe Tightens Data Protection Rules for AI ModelsAnd Its a Big Deal for Healthcare and Life Sciences Imagine youre a researcher developing an AI model, such as an algorithm or other computer process, that can predict early-stage cancer using data from thousands of patient records. Youve been careful anonymizing datasets, following ethical guidelines, and ensuring patient confidentiality.

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Due Diligence Compliance 130

Healthcare IT Today

JANUARY 8, 2025

Healthcare is the last bastion for many technologies of yesteryear. Fax machines, pagers, compact discs (CDs), clipboards, printed educational materials, and only offering a phone number to book an appointment remain prevalent in healthcare despite having been all but phased out in other industries. Many of the speakers at conferences last year pleaded with audiences to put more effort into adopting modern approaches to better solve healthcares challenges like patient experience, interoperabili

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Large enterprises face unique challenges in optimizing their Business Intelligence (BI) output due to the sheer scale and complexity of their operations. Unlike smaller organizations, where basic BI features and simple dashboards might suffice, enterprises must manage vast amounts of data from diverse sources. What are the top modern BI use cases for enterprise businesses to help you get a leg up on the competition?

Healthcare Dive

JANUARY 9, 2025

The year-long inquiry into hospitals managed by Apollo Global Management and Leonard Green & Partners comes amid growing calls for increased oversight of private equity in healthcare.

Hospitals 355

Hospitals 355

HIT Consultant

JANUARY 27, 2025

Ganesh Nathella, SVP and General Manager – Healthcare and Life Sciences (HCLS) at Persistent Systems A patient arrives at a clinic with constant chest pain. In a conventional approach, a doctor would likely conduct a range of standard tests, prescribe medication, and suggest lifestyle modifications, striving for an optimal result. Now, envision a scenario where an AI system seamlessly analyzes the patients genetic profile, medical records, and wearable device data in real time to identify

Patient Satisfaction 99

Patient Satisfaction COVID-19 Medicaid Medicaid 99

American Medical Compliance

JANUARY 21, 2025

A study published in BMC Geriatrics found that out of 3,693 nursing staff surveyed (with a response rate of 60.1%), 88.8% reported witnessing at least one incident of resident-to-resident aggression in the past year. Resident-to-resident aggression (RRA) is a growing concern in healthcare facilities, particularly in assisted living and long-term care settings.

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Compliance Nurses 105

HIPAA Journal

MARCH 11, 2025

Cyberattacks and data breaches have been announced by Sunflower Medical Group, The Center for Digestive Health, NVW Newco, Endless Mountains Health Systems, and the Department of Veterans Affairs Eastern Colorado Health Care System. Sunflower Medical Group, Kansas Sunflower Medical Group, a private multi-specialty medical group with four care centers in Kansas City, Lenexa, and Roeland Park in Kansas, has suffered a data breach involving the personal and protected health information of 220,968 i

Department of Veterans Affairs 82

Department of Veterans Affairs Licensing Ransomware Fraud 82

Speaker: Simran Kaur, Founder & CEO at Tattva Health Inc.

The healthcare landscape is being revolutionized by AI and cutting-edge digital technologies, reshaping how patients receive care and interact with providers. In this webinar led by Simran Kaur, we will explore how AI-driven solutions are enhancing patient communication, improving care quality, and empowering preventive and predictive medicine. You'll also learn how AI is streamlining healthcare processes, helping providers offer more efficient, personalized care and enabling faster, data-driven