Reducing Medicaid’s Fraud & Waste: Program Integrity SystemsBy Gerald Maccioli, MD
Gerald Maccioli, MD, MBA is chief medical officer of HHS Technology Group of Fort Lauderdale, FL.
Medicaid, a cornerstone of healthcare support…
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Top researchers at Harvard-affiliated Dana-Farber Cancer Institute, including its CEO and COO, are accused of falsifying published research articles by Photoshopping scientific graphics.
Research integrity experts identified 57 studies that appear to have been…
Combined Company Will Serve More Than 50 Health Plans and Nearly 1,000 Hospitals
TREND Health Partners (TREND), a rapidly growing provider of healthcare credit balance management and payment accuracy solutions, announced today that it has…
Tanya Sanderson, RN, BSN, MBA, MHA, CLNC, Sr. Director of Revenue Integrity at XSOLIS
Of the many complexities within the healthcare industry, medical necessity determinations can be the most challenging – and pose one of…
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The Importance of Well-Managed Patient Identity QueuesBy Megan Pruente, RHIA, MPH
Megan Pruente, RHIA, MPH is director of professional services for Harris Data Integrity Solutions of Niagara Falls, NY.
Identity queue management is…
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Oracle Health General Manager Travis Dalton will leave the company to join MultiPlan as president and CEO on March 1. Dalton was previously chief client and services officer of Cerner, as well as…
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What You Should Know:
– TREND Health Partners, a rapidly growing provider of AI-driven solutions, has acquired Advent Health Partners, an AI-driven platform identifies and standardizes clinical attributes from itemized bills and medical records, expediting…
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What You Should Know:
– The American Telemedicine Association (ATA) has announced the creation of a new Clinician Council to tackle hurdles hindering the widespread adoption of telehealth and virtual care.
– This new Clinician Council…
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Dr. Ahumada, John Hopkins’ Health Data Science Director, shares invaluable insights at HIMSS AI in Healthcare Forum. He delineates AI’s role in clinical workflows, emphasizing AI’s ongoing evolution. Ahumada highlights their emphasis on improving…
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Payer organizations are responsible for making payments toward their members’ healthcare services. They have to ensure that payments are accurate, resolve any under- or overpayments, and detect patterns of fraud, waste, and abuse (FWA)….
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