Sat.Sep 30, 2023 - Fri.Oct 06, 2023

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5 Tops Certifications for Medical Billing and Coding Professionals in 2023

p3care

Pursuing a medical billing and coding profession is one way to enter the healthcare industry. Meanwhile, healthcare is such a vast industry that almost 92.1% of Americans have health insurance. So, medical billing and coding teams never run out of work. In fact, many large practices have to depend on outsource medical billing companies. These outsource medical billing services manage the practice’s workload partially or fully.

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'Largest healthcare worker strike in US history' scheduled to begin Wednesday across Kaiser Permanente facilities

Fierce Healthcare

More than 75,000 Kaiser Permanente workers are poised to launch a strike Wednesday that organizers are describing as “the largest healthcare worker strike in U.S. history.” | A Tuesday statement from participating unions showed no signs of slowing down. The large nonprofit provider and insurer, which said it hopes for final-day deal, plans to keep hospitals and EDs open should the three-day demonstration become a reality.

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We cannot teach ourselves out of a failing system

Healthy Debate

The College of Family Physicians of Canada's expansion of training will demoralize and financially penalize early career physicians.

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Clinician Burnout/Workforce Challenges Named #1 Threat for Healthcare Organizations

HIT Consultant

What You Should Know:  symplr®,  a leader in enterprise healthcare operations software, has announced the findings of its second annual symplr Compass Survey. The research captured sentiments from CIOs/IT leaders, all members of the College of Healthcare Information Management Executives (CHIME), and clinicians at top U.S. health systems assessing decision-maker’s views of the impact of technology on clinicians and patient care.

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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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A Second Chance to Win Your Government Healthcare Contract

Sheppard Health Law

The government buys billions of dollars in healthcare-related goods and services every year, and no government procurement is perfect. In a business where every contract award matters, healthcare contractors should be aware that they may have a second chance at winning a contract if the government agency made a material error in its procurement process.

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Medical AI scribe startup Nabla rolling out tool to Kaiser Permanente docs in Northern California

Fierce Healthcare

Nabla, maker of an autonomous clinical AI scribe, has joined forces with Kaiser Permanente to roll out its tool to 10,000 doctors in Northern California. | The AI tool will be available to 10,000 Kaiser Permanente doctors in Northern California across all care settings and specialties.

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Patients benefit from AI-powered care navigator at Columbia Memorial Health

Healthcare It News

Albany Med - Columbia Memorial Health (CMH) in Hudson, New York, is a community hospital and health system serving more than 100,000 residents in Columbia and Greene counties. THE PROBLEM CMH’s digital presence was not able to capture all the business opportunities in its area of influence. Patients would look for their symptoms on Google and seek care at other hospitals and health systems in the region that had a stronger digital presence.

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What Walmart’s Look at Ozempic Users Tells Us About Health/Care Consumers

Health Populi

“We definitely do see a slight change compared to the total population, we do see a slight pullback in overall basket,” the CEO of Walmart US is quoted in Bloomberg. “Just less units, slightly less calories.” With patients’ use GLP-1 drugs such as Ozempic, Wegovy, and Mounjaro fast-rising in the pharmacy market, so are the concerns of companies that stock the-middle-of-the-grocery-store aisles for processed foods like sweet and salty snacks.

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Cigna to pay $172M to settle claims it overcharged Medicare Advantage program

Fierce Healthcare

Cigna will pay $172 million to settle allegations brought by a whistleblower and the U.S. | Cigna will pay $172 million to settle allegations brought by the U.S. government that it submitted false and inaccurate Medicare Advantage diagnostic codes in a bid to boost its reimbursement.

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Aetna may have received $25.5M in MA overpayments for 2015 and 2016, audit finds

Health Care Dive

Medical records provided by the insurer didn’t support certain diagnosis codes, resulting in overpayments, according to an audit from the HHS’ Office of the Inspector General.

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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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Telehealth helps address many key chronic care management challenges

Healthcare It News

A long and deeply-reported feature story in The Washington Post on Tuesday put a spotlight on the stark effect that an epidemic of chronic illness is taking on too many millions of Americans. "Forty years ago, small towns and rural regions were healthier for adults in the prime of life. The reverse is now true," according to the Post. "Urban death rates have declined sharply, while rates outside the country’s largest metro areas flattened and then rose.

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Videogame Sanity Systems and Mad Representation

Bill Of Health

By Alice Fox Technological artifacts do not exist in a vacuum: they bear the undeniable markings of human histories, politics, blind spots, and biases – for better and worse. Consider, for example, the video game: everything in a video game must be created, decided upon, and often negotiated in a dynamic and lively way. As I have written elsewhere , video games can directly embody and reproduce harmful stereotypes and misconceptions, while neatly packaging these dispositions as “the way th

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Digital health investments shift to disease treatment, workflow solutions and VBC in Q3: Rock Health

Fierce Healthcare

Digital health founders and investors continue to face a tighter funding cycle with fewer deals and lower check sizes. | In Q3 2023, U.S. digital health startups raised $2.5 billion across 119 deals, the second-lowest quarter by funding total since the fourth quarter of 2019, Rock Health reports.

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Physician burnout rate doubled between 2019 and 2021, study finds

Health Care Dive

Women physicians, less tenured clinicians and those working in primary care were more likely to report higher levels of burnout, according to research published in JAMA Network Open.

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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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AHA says OCR's online tracking tool rules need to go

Healthcare It News

In a letter to the Senate Committee on Health, Education, Labor and Pensions, the American Hospital Association said the U.S. Health and Human Services Office of Civil Rights rule regarding the use of online tracking tools is at odds with existing HIPAA rules and could cause meaningful harm to patients and public health. "Congress should urge OCR to withdraw the rule immediately," AHA said in its response to a request for information on data privacy and HIPAA.

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Designing for Health: Interview with Evan Heigert [Podcast]

Nordic

Clear communication is critical in every industry, but it is paramount in healthcare. The information being communicated is inherently complex, highly scientific, and often intimidating. How this information is received will determine the health and well-being of all of the individuals being treated, leaving little room for error. While accuracy and expertise on the clinical side are non-negotiable, if it’s clearly presented through an inviting, empowering medium, patients will thrive and clinic

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DEA extends pandemic rules for telehealth prescribing through 2024 as agency irons out new policies

Fierce Healthcare

The Drug Enforcement Administration (DEA) said Friday it will extend telehealth flexibilities that enable clinicians to virtually prescribe controlled medications to their patients through 2024 as | The DEA announced Friday that it is extending pandemic rules for prescribing controlled substances via telemedicine through the end of next year.

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Cigna pays $172M to settle MA upcoding allegations

Health Care Dive

The agreement settles a whistleblower lawsuit against Cigna that the Department of Justice joined last year, and requires the payer to undergo annual auditing from an independent entity.

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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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Generational gaps emerge in telehealth satisfaction

Healthcare It News

Telehealth has undergone a transition from pandemic-era lifeline to convenient outlet for routine follow-ups, treatment of minor illnesses and mental health service.

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Building a Disability Organization Rooted in Disability Justice

Bill Of Health

By Dom Kelly There’s a lot to say about the nonprofit sector and how it so often burns out, underpays, and devalues the humans who do the labor. There’s a pervasive narrative that this should just be accepted as a cost of doing good in the world. But for marginalized people who find themselves in this work for reasons that are connected to their identities, this kind of thinking ultimately pushes us out of the sector altogether.

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8 in 10 women delay care until their symptoms worsen, survey finds. This is bad for patients and employers

Fierce Healthcare

About 8 in 10 women say they are delaying care until their symptoms worsen or affect their daily lives, and 43% have recently missed a day or more of work due to health issues. | About 8 in 10 women say they are delaying care until their symptoms worsen or affect their daily lives, and 43% have recently missed a day or more of work due to health issues.

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Froedtert signs deal with Ascension Wisconsin to take full ownership of health plan

Health Care Dive

The Milwaukee-based health system plans to buy the remaining 50% stake in Network Health, which offers commercial and Medicare plans in 23 Wisconsin counties.

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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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Generative AI roundup: IBM, Wolters Kluwer and others offer new products and services

Healthcare It News

Each day, more companies add generative artificial intelligence assistants to their products and services. This week, some of the biggest names in software announced integrations and implementations they say are safe and transparent uses of AI while a healthcare IT industry research organization published guidance on automation, ethics and trust. IBM introduces Watsonx legal protections To ease customer apprehensions about use of generative AI, IBM announced that it would indemnify its clients a

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Medicaid and Housing: State Strategies to Support Housing-Related Services

NASHP

As the U.S. faces a housing crisis, states across the nation are leveraging Medicaid to support housing and housing-related services for Medicaid beneficiaries. States can use a variety of Medicaid authorities to cover these services, including state plans, waivers, and managed care arrangements. This toolkit provides state officials with details on state supportive housing programs, including payment approaches, Medicaid authorities, and a crosswalk of housing programs in 18 states.

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Diana Health picks up $34M to expand network of modern women's health practices

Fierce Healthcare

Women's health needs more innovation and investment, particularly in maternal care. | Research shows that the U.S. is facing a maternal health crisis. Diana Health partners with hospital and health system leadership to restructure their women’s health programs with a clinical redesign of labor and delivery.

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AHA urges lawmakers to roll back online tracking tech restrictions

Health Care Dive

The hospital lobby argued recent guidance limiting third-party tracking technology prevents providers from sharing reliable healthcare information.

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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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Microsoft's Azure OpenAI Service is integrated into Mercy's offerings

Healthcare It News

The generative AI technology will supply patients with answers to healthcare-related questions and scheduling services and offer employees HR-related information.

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Why We Still Need a Day for Global Action to Decriminalize Abortion in Latin America

Bill Of Health

By Alma Beltrán y Puga More than 30 years have passed since women gathered for the Fifth Feminist Latin American Meeting in Argentina and launched the September 28 th Campaign in favor of decriminalizing abortion in the region. The initiative, however, remains painfully relevant, as still today most countries in Central America and the Caribbean prohibit abortion even in cases of sexual violence and instances where the pregnant woman’s health (and, potentially, life) is at stake.

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WellTheory, a platform to help manage autoimmune disease, unveils enterprise offering

Fierce Healthcare

WellTheory, a platform focused on reducing autoimmune disease symptoms, has unveiled an enterprise product for employers and payers looking to offer autoimmune care. | The new offering aims to tackle the hidden costs and productivity impacts of untreated autoimmune diseases. It will include a community-based program that gives members access to events, tools, experts and peers for support.

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Warren, Jayapal call for closer scrutiny of UnitedHealth-Amedisys deal

Health Care Dive

The progressive lawmakers sent a letter Tuesday to top antitrust regulators urging heightened attention to the $3.3 billion transaction, which is currently under investigation by the Department of Justice.

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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.