Sat.May 17, 2025 - Fri.May 23, 2025

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Why Medical Billing and Coding Services Are Crucial in U.S. Healthcare

p3care

Medical billing and coding services are an essential part of the US healthcare system. They ensure physicians and hospitals are compensated fairly for the services provided to patients. Medical billing and coding are critical not only for financial accuracy but also for administrative efficiency because of the complexity of health care systems and insurance process.

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House passes reconciliation bill with massive Medicaid cuts

Health Care Dive

Speaker Mike Johnson negotiated a number of last-minute changes to the megabill to ensure passage, including moving up the start date for Medicaid work requirements. The House passed the bill 215-214 on Thursday morning.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

With most eyes on Medicaid cuts in Congress, keep a close eye on ACA enrollment over the next six months, warn health policy experts.

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Kettering Health faces a ransomware attack and confirms a scam targeting its patients

Healthcare It News

Within hours of a cyber incident that disrupted some of its services, Ohio-based Kettering Health said fraudsters were calling its patients and requesting credit card payments for medical expenses. WHY IT MATTERS A network cyber attack limiting access to patient care systems across Kettering's 14 medical centers and more than 120 outpatient facilities caused a call center outage and cancelled elective surgeries, the health system explained in an online statement on Tuesday.

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How to Turn “Check-the-Box” Compliance Trainings Into Real Learning

Speaker: Brian Richardson, Brian Richardson, Founder and CEO of Richardson Consulting Group

Let’s face it—most ethics and compliance training programs aren’t winning awards for engagement. But that doesn’t mean they can’t be effective, captivating, and maybe even enjoyable! Join learning design expert Brian Richardson for a dynamic session on how to breathe new life into your ethics and compliance training. We'll explore innovative strategies to bring traditionally dry topics to life, making them resonate with learners and drive tangible change.

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Too Many Patients? Not Enough Doctors?8 Reasons You Still Need to Market

Healthcare Success

I get it. Your healthcare organization is overflowing with patients, your doctors struggle to keep up, and youre worried about burnout. As a result, youve likely de-prioritized your marketing efforts. But cutting too much would be short-sighted, and heres why: It could make issues such as staff shortages, long waitlists, and provider burnout worse. Though it may seem counterintuitive, now is a great time to re-think your marketing strategy.

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UnitedHealth downgraded by investment banks

Health Care Dive

TD Cowen, Raymond James and Bank of America have all downgraded UnitedHealth’s stock, citing dogged internal challenges facing the company.

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Patients want more healthcare payment options

Healthcare It News

New research from TrustCommerce show that, while debit cards remain popular and can be cheaper for health systems to accept, many patients would rather pay for treatment digitally. Ryne Natzke, the company's chief revenue officer, explains.

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The Healthcare Consumer Experience Is Evolving

Healthcare Success

Are you delivering the experience todays healthcare consumers actually want? You might be surprised. In this episode, Stewart Gandolf sits down with Aaron Clifford , Vice President of Consumer Experience at Press Ganey , to explore how the patient journey is evolving and how todays healthcare consumers find, evaluate, and choose providers. Drawing from Press Ganeys latest Consumer Experience Trends in Healthcare report, they explore the growing influence of AI tools, the rising importance of onl

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CMS expands audits to crack down on Medicare Advantage overpayments

Health Care Dive

The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

In a briefing held by the Catholic Health Association, hospital leaders referred to the moral imperative they and Congress share to preserve the countrys safety net.

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Bridging Innovation & Patient Care: The Growing Role of AI

Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health

AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!

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New York Lawmakers Introduce Bill To Reverse CDPAP Changes

Home Health Care

New York lawmakers are looking to reverse the decision that requires the states self-directed Medicaid home care program the Consumer Directed Personal Assistance Program (CDPAP) to operate under a single fiscal intermediary. Last week, State Senate Health Committee Chair Gustavo Rivera and Assembly Health Committee Chair Amy Paulin introduced legislation that aims to address some of the challenges that have come up since Public Partnerships LLC (PPL) took over as the sole fiscal intermediary

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Closing the Affordability Gap: How Automation is Advancing Biosimilar Adoption

HIT Consultant

Josh Canavan, Head of Pharmacy at RazorMetrics Millions of Americans are currently facing a difficult choice: either pay for expensive biologic medications or ration doses to afford basic needs. Cost-related nonadherence (CRN) is where patients either skip or delay their medication due to cost concerns, a challenge that is widespread throughout the U.S.

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Pennsylvania governor pushes private equity reform following Crozer Health closure

Health Care Dive

Prospect Medical Holdings’ bankruptcy prompted two hospital closures in Pennsylvania. The closures caused layoffs, disrupted patient care and renewed calls for oversight from lawmakers and Gov. Josh Shapiro.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

After rallying for several days in a row, UnitedHealth Group's shares are taking another downturn following media reports that it paid kickbacks to nursing homes to reduce patient transfers to hospitals.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

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.

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Dealbook: Help At Home Acquires Home Care Now of Central Florida, Seniors Helping Seniors Expands

Home Health Care

Help at Home announced its acquisition of Home Care Now of Central Florida. This acquisition follows the companys purchase of Caregiver Services Inc. and expands its presence in Florida. Help at Home now operates in every county in Florida. We welcome Home Care Now of Central Florida teams, caregivers, payers and partners to Help at Home, Glen Golemi, Floridas regional leader, said in a statement.

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Hendry Regional Taps Sunoh.ai & eClinicalWorks for AI Medical Scribe Success

HIT Consultant

What You Should Know: – eClinicalWorks , the largest ambulatory cloud EHR, today announced that Hendry Regional Medical Center is successfully utilizing Sunoh.ai. – The AI medical scribe is helping providers complete clinical documentation at the end of each day, dramatically decreasing documentation lag. AI Medical Scribe Boosts Clinical Efficiency and Billing Accuracy at Hendry Regional Medical Center Hendry Regional Medical Center, a comprehensive healthcare facility in Florida, h

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Ohio’s Kettering Health hit by cyberattack

Health Care Dive

Elective inpatient and outpatient procedures at the health system’s facilities were canceled Tuesday.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

A cyberattack is causing a system-wide technology outage at Kettering Health and its network of more than a dozen medical centers in Ohio.

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From Diagnosis to Delivery: How AI is Revolutionizing the Patient Experience

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

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Axle Health Raises $10M To Accelerate AI Home-Based Care Tech Development

Home Health Care

Axle Health, a home health care technology company, has secured $10 million in Series A funding. Venture firms F-Prime, Y Combinator, Pear VC and Lightbank led the round. Axle plans to use the funds to enhance Axles AI-powered scheduling and routing algorithms, develop generative AI solutions for patient engagement and expand its engineering and operations teams.

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Reach7 CEO Talks Reimagining Diabetes Care with Membership-Based Studio Clinics

HIT Consultant

Chun Yong, CEO at Reach7 Diabetes Studios Todays landscape of diabetes care is fraught with challenges: it’s a condition that’s often misunderstood by both patients and the healthcare system, highly prevalent, financially burdensome and frequently mismanaged. To explore a new paradigm in addressing these issues, we’re speaking with Chun Yong, the founder and CEO of Reach7 Diabetes Studios.

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Ascension still chasing financial turnaround after last year’s cyberattack

Health Care Dive

The nonprofit health system says it has made progress toward recovering from last year's massive cyberattack. However, it still posted losses during the third quarter of its fiscal year.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

An independent report found that self-guided content and prescription digital therapeutics saved money while blended therapy models raised costs.

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Can Your Organization Spot a Conflict Before It’s a Crisis?

Speaker: Amie Phillips Pablo, VP, Corporate Compliance & Privacy Officer at Novo Nordisk

In today’s complex healthcare environment, navigating third-party relationships has become even more challenging—whether it’s vendor relationships, employee activities, or patient-facing interactions. Left unmanaged, these conflicts can compromise trust, regulatory compliance, and even organizational reputation. So, how can healthcare teams stay ahead?

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Lawmakers Reintroduce Bipartisan Bill To Update ‘Outdated’ Medicare Advantage Prior Authorizations

Home Health Care

On Wednesday, a slew of bipartisan lawmakers reintroduced a bill that would overhaul the prior authorization process for seniors enrolled in Medicare Advantage (MA) plans and cutting through some of the red tape facing home health providers. The Improving Seniors Timely Access to Care Act would amend part of the Social Security Act and establish requirements for MA prior authorizations, aiming to increase transparency and require an electronic prior authorization system.

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The Key to RPM Success You Might Be Overlooking: Comprehensive Support

Health Recovery

Remote Patient Monitoring (RPM) holds the transformative power to revolutionize healthcare, promising significant returns on investment and, more importantly, the ability to drive meaningful improvements in patient outcomes. Yet, countless organizations discover that deploying cutting-edge devices and sophisticated software is merely the foundational step.

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VA looks to increase Oracle EHR deployments

Health Care Dive

Secretary Doug Collins told lawmakers last week the agency is hoping to roll out the software to 20 to 25 sites in fiscal year 2027, after largely halting new deployments in 2023.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Mehmet Oz, M.D., is cracking down on Medicare Advantage in the latest effort to root out waste, fraud and abuse.

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How to Make The Best Benefits Decisions for 2025's Workforce: An HR and Total Rewards Guide

Speaker: Kaitlin Ruby Carroll

Retaining top talent in 2025 means rethinking benefits. In a competitive job market, fertility benefits are more than just offerings - they are a commitment to your team’s well-being. Gain critical insights into the latest fertility benefits strategies that can help position your organization as an industry leader. Our expert will explore the unique advantages and challenges of each model, share success stories from top organizations, and offer practical strategies to make benefits decisions tha

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Right At Home CEO Warns Of ‘Collision Course,’ Aims To Double Weekly Care Volume

Home Health Care

Right at Home CEO Margaret Haynes envisions doubling the company’s weekly care hours over the next decade as demand surges. While seeking to fulfill her sizable growth plans for Omaha, Nebraska-based Right at Home, Haynes is also navigating what she sees as the collision course the home care industry is facing: through-the-roof demand and insufficient supply.

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ACHS Leadership: An Interview with ACHS President Tracey Abell

American College of Healthcare Sciences

ACHS President Tracey Abell shares her story, vision, & how ACHS equips students to lead in holistic health through innovation & community. The post ACHS Leadership: An Interview with ACHS President Tracey Abell appeared first on American College of Healthcare Sciences.

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Hacking, ransomware driving more healthcare data breaches: study

Health Care Dive

Hacking and IT incidents accounted for 88% of patient records exposed from 2010 to 2024, while ransomware made up nearly 40%, according to research published in JAMA Network Open.

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Fierce Healthcare - Untitled Article

Fierce Healthcare

Microsoft is testing out a new product that coordinates healthcare AI agents to support multi-disciplinary teams. Its first use case is for assisting tumor boards with reviewing images, lab tests and EMR data.

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Why Every Small Business Needs an HCM Solution: A Comprehensive Guide

Managing HR tasks like payroll, compliance, and employee data can overwhelm small businesses. That’s where a Human Capital Management (HCM) solution comes in. Our eBook, Why Every Small Business Needs an HCM Solution: A Comprehensive Guide , shows how an HCM system automates tedious processes, ensuring your business stays compliant and efficient. You’ll learn how to simplify payroll, eliminate costly errors, and empower your employees with self-service tools.