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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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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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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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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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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Multilocation Marketing in Healthcare: The Biggest Challenges

Healthcare Success

Building a multilocation healthcare business expands your reach, patient base, and profit margin. But, these benefits come with several unique marketing challenges. The good news? They also come with remarkable marketing opportunities. In this article, I identify several common challenges and how to overcome them with effective marketing strategies. 12 Marketing Challenges Unique to Multilocation Brands Multilocation businesses typically prioritize revenue cycle management, billing, coding, coll

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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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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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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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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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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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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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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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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.

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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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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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Best Practices to Streamline Compensation Management: A Foundation for Growth

Speaker: Joe Sharpe and James Carlson

Payroll optimization can be one of the most time-consuming and complex factors of small business management. Yet, organizations that crack the code on streamlining employee compensation often discover innovative avenues for growth. With the right strategies in place, outsourcing and streamlining payroll processes can result in substantial time and resource savings.

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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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The European Commission’s New Compulsory Licensing Proposal: A Step Forward?

Bill Of Health

By Sarah Gabriele On April 27, 2023, the European Commission proposed new legislation that would allow companies to make drugs without the patent holder’s consent in emergency situations. The proposed legislation constitutes a step forward in the European Union’s effort to harmonize patent law in the Union, after the establishment of Unitary Patents and the European Patent Court.

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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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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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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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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 304
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A Strategy For Value-Based Drug Pricing Under The Inflation Reduction Act

Healthcare ECONOMIST

This is the title of my Health Affairs Forefront article published today alongside co-authors Darius Lakdawalla, Jalpa Doshi, Louis Garrison, Anup Malani, Peter Neumann, Charles Phelps, Adrian Towse, and Richard Willke. The article begins by discussing some of the pros and cons of different approaches for CMS to set the maximum fair price (MFP). Across these options, we recommend using a combination of generalized risk-adjusted cost effectiveness (GRACE) alongside equal value of life years gaine

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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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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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How To Empower Your Workforce With Modern Fertility Benefits

Speaker: Andrea Wuchiski

In an era where a workforce spans multiple generations, HR managers and Total Rewards leaders face the unique challenge of designing benefits packages that cater to diverse employee needs. This session will delve into how comprehensive fertility benefits can bridge generational gaps, support employees’ health, and enhance workplace satisfaction. Join us for an insightful session that highlights the strategic importance of fertility benefits in today’s competitive job market.

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Doctors, influencers call on their peers to use social media to 'pre-bunk' dangerous misinformation

Fierce Healthcare

Doctors, influencers call on their peers to use social media to 'pre-bunk' dangerous misinformation aburky Mon, 05/01/2023 - 18:49

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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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CVS lowers 2023 earnings outlook on Oak Street, Signify deal costs

Health Care Dive

The company’s recent big-ticket acquisitions are taking a toll on its financial outlook, though management told investors Wednesday the company still expects to reach its prior earnings targets for 2024 and 2025.

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Easier patient access must be a healthcare priority

Healthcare It News

Enterprise Taxonomy: Node settings: Exclude from Accelerate RSS feed

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Enhance Healthcare Efficiency With Top Payroll & HCM Services

Running a healthcare facility requires precision and care, not just for patients but also for your staff. Our guide, "A Buyer’s Guide to Payroll & HCM Services," helps healthcare providers choose the best provider. Efficient payroll management ensures timely, accurate payments, critical for maintaining staff morale and trust. Compliance support helps navigate complex healthcare regulations and avoid costly fines.