Sat.Apr 29, 2023 - Fri.May 05, 2023

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How to Detect Frauds in Medical Billing Effectively?

p3care

Fraudulent medical billing services are a sort of white-collar crime. Any act of intentional deviation/misrepresentation of data is medical fraud. Sometimes, such occasions occur because the healthcare billing services are not competent to handle them. While others do so to earn some financial advantages. In any way, this is not acceptable at all. Therefore, practices that do not pay attention to this issue deal with the strict actions of the government.

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Exploring the potential of healthcare chatbots

Healthcare It News

Patients expect a convenient, Amazon-like, digital experience when engaging with healthcare. But in an era of continued staffing challenges, staying connected to the patient outside of the four walls of a healthcare facility can be difficult; enter the chatbot. Chatbots proactively engage with patients to offload routine clinical and administrative tasks that are traditionally handled by physicians, nurses, clinicians, and care team members.

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Chatbots outperformed doctors in answering patient questions with accuracy and empathy: JAMA study

Fierce Healthcare

Chatbots outperformed doctors in answering patient questions with accuracy and empathy: JAMA study aburky Mon, 05/01/2023 - 13:58

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Remembering the past: Asian/Pacific American Heritage Month

CHQ Healthcare

May is Asian/Pacific American Heritage Month , and each year CHG looks for opportunities to celebrate the heritage of our Asian and Pacific American employees. Last year, CHG’s diversity, equity and inclusion (DEI) and community impact teams hosted two service-learning opportunities to help educate and inspire employees about Asian/Pacific American history in the U.S.

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How to Battle Layoffs: The Career Star Accelerator Bootcamp

Facing layoffs in your organization? Support your team members' career transition with Career Star Accelerator Bootcamp: Custom Resume & LinkedIn Revamp + 6 Weeks of Career Coaching. Our certified resume writers will create job search-winning resumes and LinkedIn profiles while they work with a career coach to learn unique strategies to stand out, attract the right employers, automate their job search, and land their dream job.

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Expectations For The Connected Care Business In The Years Ahead

HIT Consultant

Russ Johannesson, CEO at Glooko Though we seldom see their use in our modern world and, even then, only in fiction, there was a time when it was common for people to actually use things like crystal balls and divining rods to try to uncover unknown yet valuable information. As unbelievable as it may seem, soothsayers peered into crystal balls aiming to help seekers look into the future for guidance, while prospectors would rely earnestly on divining rods as they attempted to locate underground r

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DEA temporarily extends COVID-19 telehealth prescribing flexibility for controlled substances

Health Care Dive

The agency said on Wednesday that it needs additional time to parse through the 38,000 public comments it received in response to a proposal to reintroduce stricter limits around telehealth prescribing.

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Horizon taps AI provider Solera Health in effort to offer more customized care to members

Fierce Healthcare

Horizon taps AI provider Solera Health in effort to offer more customized care to members fdiamond Thu, 05/04/2023 - 14:16

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How AI can Help Resolve the Issues in Medical Billing and Coding?

p3care

Do you know what the key is to a smooth RCM? Which thing assures successful reimbursement promptly? If you’re thinking about medical billing and coding services, then you’re guessing right. We especially emphasize the role of medical billing outsourcing companies in making it possible. From the very beginning, the healthcare sector suffered from complexities in its bills.

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CDC Director Walensky to step down in June

Health Care Dive

Rachel Walensky, who has served as director since 2001, was criticized for the federal government’s handing of the pandemic, announcing in August last year that she planned to reorganize the CDC.

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Leapfrog Group sees surging HAIs nationwide

Healthcare It News

Three of the most stubborn and dangerous healthcare-associated infections are on the rise in acute care settings across the country, according to the Leapfrog Group, which published its spring 2023 Hospital Safety Grades on Wednesday. WHY IT MATTERS Data from the new Leapfrog report show double-digit increases in HAIs, including Methicillin-resistant Staphylococcus aureus, central line-associated bloodstream infections and catheter-associated urinary tract infections.

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5 Essentials for Healthcare CIOs: A Provider Data Management Checklist

Complete and accurate provider data is essential for health organizations to operate effectively. A better understanding of your provider network helps to understand patients and consumers, identify gaps in care, and make the best possible decisions for your businesses. A modern provider data management solution should power a complete and accurate view of each of your providers, make this data easily accessible across functional groups, and be flexible and agile enough to scale. with your needs

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OIG flags $580M in improper Medicare payments for psychotherapy, with the bulk billed for telehealth services

Fierce Healthcare

OIG flags $580M in improper Medicare payments for psychotherapy, with the bulk billed for telehealth services aburky Fri, 05/05/2023 - 15:03

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Preventing Intelligence Leaks: Let's Start Over

The Rand Blog

The United States badly needs a new secrecy paradigm to protect classified information, and one that also improves government transparency. Our archaic system for keeping classified information secure is terminally flawed, and no amount of triage tinkering can hope to fix it.

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Envision wins $91M in arbitration against UnitedHealthcare

Health Care Dive

The arbitration panel found UnitedHealthcare “unilaterally reduced reimbursement to Envision clinicians,” in violation of its in-network agreement.

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Cloud-based EHR helps NorthSight Recovery make big strides on SDOH

Healthcare It News

NorthSight Recovery is an evidence-based behavioral health agency in Arizona specializing in complex mental health diagnoses, co-occurring problematic substance abuse and social determinants of health. It approaches treatment through data-driven modeling powered by analytics. THE PROBLEM "Northsight Recovery was founded with the intent of prioritizing technology and tools alike," said Jeremy Bloom, CEO of NorthSight Recovery.

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A Guide to Improved Sepsis Detection & Compliance: 6 Areas You Should Address

This guide highlights key areas that your sepsis detection platform should address to minimize the impact of this leading, entirely preventable cause of in-hospital deaths, as well as how to increase compliance by 20% in 30 days. Download to learn more!

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Telehealth providers cheer DEA move to temporarily extend virtual prescribing flexibilities

Fierce Healthcare

Telehealth providers cheer DEA move to temporarily extend virtual prescribing flexibilities hlandi Wed, 05/03/2023 - 15:16

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A Superbug Stalked My Daughter and Stole Her Life. Phage Therapy Could Have Saved Her

CDC

This blog is a part of a series that CDC launched to highlight the importance of patient safety by providing educational information and simple ways to help people stay informed on patient safety topics. Read the blog below authored by Diane Shader Smith, to learn more about antimicrobial resistance and the importance of investing in innovative treatments like phage therapy.

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Healthcare added 40K jobs in April with hospital, ambulatory gains

Health Care Dive

The April job numbers are a decrease compared to the sector's average monthly gain of 47,000 jobs over the prior six months.

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Sneak peek: New EY survey explores changing consumer telehealth preferences

Healthcare It News

In-person visits are still perceived more positively than virtual visits when it comes to telehealth quality, outcomes, convenience and utility, according to a soon-to-be-released healthcare survey of more than 6,000 consumers in the U.S., Canada, England, Ireland, Australia and Germany. The survey was conducted by research and consulting giant EY – and it has plenty more to say about the state of healthcare and health IT today.

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The New Tech Experience: Innovation, Optimization, and Collaboration

Speaker: Paul Weald, Contact Center Innovator

Learn how to streamline productivity and efficiency across your organization with machine learning and artificial intelligence! No matter what industry you're in - healthcare, customer service, sales, and more - it’s easier than you think to reduce wait times, monitor sentiment, and provide enhanced self-service options for all of your users. This means that you can achieve a more consistent and engaging customer experience while reducing sources of friction.

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Verizon will supply VA with mobile devices, emergency tech in $448M deal

Fierce Healthcare

Verizon will supply VA with mobile devices, emergency tech in $448M deal aburky Fri, 05/05/2023 - 16:17

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Can Stress Cause a Stroke?

Healthcare Associates

A stroke is a common and dangerous health condition. When you have a stroke, blood cannot flow to the brain, which can damage the delicate brain tissue. This can result in brain damage, disability, or death. Stroke is the fifth leading cause of death in America and the leading cause of disability. Multiple factors can lead to a stroke. Many health conditions can increase your risk of stroke.

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Lower patient acuity, expenses drove CHS to $51M loss in Q1

Health Care Dive

CHS continued to grapple with heightened expenses in the quarter, including a sequential increase in salary and benefit expenses and supply costs, executives said on a Tuesday call.

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Adelaide virtual care project gets state backing

Healthcare It News

A new health project in Adelaide seeks to provide virtually-delivered primary care services to patients with chronic conditions. Led by Flinders University, the safe@home project has received nearly $1.1 million (around $700,000) in funding from the National Health and Medical Research Council. HOW IT WORKS The project will provide patients with chronic conditions, especially those living in low-income communities, with access to daily/regular integrated primary care services through virtual car

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Level up Culture & EQ | Sign up for the #CultureDrop

Once a week, culture & leadership expert Galen Emanuele gives free, actionable EQ training in 5 minutes or less. Subscribe to the #CultureDrop and access free resources & content.

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Hospital margins inch up in March as volume, revenue growth outpace expenses

Fierce Healthcare

Hospital margins inch up in March as volume, revenue growth outpace expenses dmuoio Wed, 05/03/2023 - 12:39

Hospitals 306
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Verizon Inks $448.3M Veterans Affairs Contract to Supply Medical Devices

HIT Consultant

What You Should Know: Verizon Public Sector announced a $448.3M, nine-year expansion of its existing partnership with the Department of Veterans Affairs (VA) medical centers and healthcare facilities to supply mobile devices including mission-critical communications support during the VA’s disaster recovery missions and other emergencies. As part of the agreement, the VA can purchase devices and services for community-based outpatient clinics, field and program offices, and remote users in the U

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Cigna raises full-year guidance on $46.5B in Q1 revenue

Health Care Dive

CFO Brian Evanko said that, while Cigna is “not yet seeing signs of economic pressure,” it expects higher levels of overall disenrollment in the back half of the year.

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IT-enabled urgent aged care service expands to Western Sydney

Healthcare It News

More residential aged care residents in Western Sydney can now access an IT-enabled urgent care service by the New South Wales government following its expansion. The inTouch urgent care service provides patients with less urgent conditions with access to comprehensive health assessment via video conferencing and direct support from GPs and aged care staff.

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Strategies to Deal with Collaborative Healthcare Communication

Speaker: Dr. Ugo Uwaoma, MD, MBA

Due to the impact of COVID-19, integrating telehealth software into practices and organizations has become the new normal. In turn, this has increased the effectiveness of collaborative healthcare by strengthening communication amongst healthcare workers and helping combat the woes of burnout. Communication between patients and healthcare providers has also improved, allowing patients to reach their providers easily and decreasing turnaround time.

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Talkspace boosts 2023 outlook buoyed by strong growth in payer, employer business

Fierce Healthcare

Talkspace boosts 2023 outlook buoyed by strong growth in payer, employer business hlandi Wed, 05/03/2023 - 11:40

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Patient Square Capital Forms Elevage Medical Technologies to Partner with Growth-Stage Medical Device Companies

HIT Consultant

What You Should Know: Healthcare investment firm Patient Square Capital (“Patient Square”) forms Elevage Medical Technologies (“Elevage”), a new portfolio company to support the growth of promising medical device companies by providing capital and deep strategic expertise. Elevage will deliver financial and strategic growth support to a broad set of medical device technology companies that are at the forefront of transforming health care through cutting-edge devices that

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Hospital margins continue to stabilize but remain below pre-pandemic levels

Health Care Dive

Rising expenses and thin operating margins have left hospitals vulnerable to a potential recession or a new public health emergency.

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Roundup: Altera's ANZ head promoted to APAC VP and more briefs

Healthcare It News

Altera's ANZ head promoted to APAC VP Todd Haebich, head of Australia and New Zealand at Altera Digital Health, is taking on a new role as the company's EVP for Asia-Pacific. He first joined the company, then Allscripts, in 2015 as an associate VP for Strategic Accounts in ANZ before becoming the general manager in 2018. His responsibilities now include the Southeast Asian market where he has lived from 2008 to 2014 and held senior positions with leading healthcare IT companies like Wolt

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Top 12 Telehealth KPIs Every Health Tech Leader Should Know

Speaker: Matt McBride, CEO and Co-Founder of Mend

Patient engagement happens before, during, and after interactions. Consumer research has found that in 2021, 64% of US households reported using Telehealth services. In addition 34% of patients would prefer Telehealth visits to in-office visits. Accessible patient engagement technology can help you improve your relationships with your patients while also improving your KPIs.