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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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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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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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 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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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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University Hospitals puts a bow on new Epic EHR rollout

Healthcare It News

Cleveland-based University Hospitals this week announced that it had completed its years-long migration to a single Epic electronic health record across its care sites. WHY IT MATTERS Leaders at the health system said the implementation – where more than 5.6 million patient records and scheduling systems were converted to one platform – is a "transformational moment" that will lead to better care delivery from its providers and a more connected experience for its patients.

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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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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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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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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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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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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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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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New AccentCare CEO Laura Tortorella Set To Take On An Evolving Home Health Landscape

Home Health Care

Laura Tortorella had her first day as AccentCare CEO Monday. And, in just about a month, the Centers for Medicare & Medicaid Services (CMS) will drop its final home health payment rule. In the meantime, she will be learning as much as she can about a new industry. A health system veteran, she previously served as the COO of Steward Health Care. “I think you’re always learning – every day is another learning opportunity,” Tortorella told Home Health Care News.

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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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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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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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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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Lawmakers Elizabeth Warren, Pramila Jayapal Urge DOJ To Further Scrutinize Optum-Amedisys Deal

Home Health Care

Lawmakers are hoping to direct further scrutiny toward UnitedHealth Group’s (NYSE: UNH) pending deal of the home health giant Amedisys Inc. (Nasdaq: AMED). Specifically, Sen. Elizabeth Warren (D-Mass.) and U.S. Rep. Pramila Jayapal (D-Wash.) have asked antitrust regulators to take a closer look. “We urge DOJ and FTC to closely scrutinize UnitedHealth’s proposed acquisition of Amedisys and oppose the growing trend of insurers buying up health care providers to reduce competition and pad the

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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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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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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.