A recent report from the HHS Office of the Inspector General (OIG) turned heads across the healthcare industry after pointing to a notable rise in inpatient hospital stays where upcoding was believed to be the culprit. Compliance professionals who have been in the healthcare industry any length of time know what's next: targeted billing reviews by the Centers for Medicare and Medicaid Services (CMS) around hospital stays that are vulnerable to upcoding.
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Health IT | News, Analysis, Insights - HIT Consultant
M&A: Babylon Acquires Patient Engagement Solution DayToDay Health
What You Should Know:
- Babylon (NYSE: BBLN) acquires patient engagement platform DayToDay Health (“DayToDay”) to provide Babylon members with DayToDay’s digital-first, highly engaging programs and clinical services prior to and following scheduled surgeries, major health events like childbirth, and following diagnosis of chronic conditions.
- Financial details of the acquisition were not disclosed.
Enhancing Lives by Guiding Patients with Individualized Care
Although almost all
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CVS Health, Uber Health Collaborate to Advance Health Equity in Communities Nationwide
What You Should Know:
- CVS Health (NYSE: CVS) announced a collaboration with Uber Health, Uber's healthcare arm, to provide free transportation through a new Health Zones initiative to people who need it most when seeking access to medical care, work, or educational programs.
- CVS Health and Uber Health will help eliminate a critical barrier to care and overall well-being transportation which can limit a person's ability to receive medical care, to get to work or to job training and can
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3 Trends Impacting the Financial Health of Patients and Providers in 2022
It's an unfortunate reality of our times: Healthcare in the United States has become increasingly unaffordable, challenging patients, providers, and pharmacies alike. One in 5 adults reported they can’t afford quality care. Uncompensated care hovers around $40B annually. The COVID-19 pandemic continues to strain the resources of our healthcare system. What lies ahead?
Against a backdrop of growing financial burden, these three trends tell the story of where healthcare affordability is
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M&A: IBM Sells Off Watson Health Business to PE Firm Francisco Partners
What You Should Know:
- Today, IBM announced it has sold off healthcare data and analytics assets from IBM that are currently part of the Watson Health business to global private equity firm Francisco Partners. The assets acquired by Francisco Partners include extensive and diverse data sets and products, including Health Insights, MarketScan, Clinical Development, Social Program Management, Micromedex, and imaging software offerings.
- Financial terms of IBM's agreement with Francisco
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Pharmacy Interoperability Challenges and Needs Under the 21st Century Cures Act
As interoperability provisions from the 21st Century Cures Act (Cures Act) enter their enforcement phase, pharmacy leaders within the Pharmacy HIT Collaborative (PHIT), the U.S. Department of Health and Human Services (HHS) Office of the National Coordinator for Health Information Technology (ONC), and pharmacy system vendors met recently to discuss the state of pharmacy interoperability. The group detailed various challenges and needs associated with pharmacy interoperability, information
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Syapse, Pfizer Extends Collaboration to Generate Real-World Evidence in Breast Cancer
What You Should Know:
- Syapse, a real-world evidence company that informs cancer care, announced that it will extend its collaboration with Pfizer to generate real-world evidence in breast cancer.
- This is the third phase of the collaboration, which was first announced in 2019 and renewed in 2021.
Generate Real-World Evidence in Breast Cancer
As part of the next phase of the collaboration, Syapse will provide insights and services to Pfizer, using the Syapse Learning Health Network
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DrChrono and Solv Integrates to Enhance the Patient Experience
What You Should Know:
- DrChrono Inc., an EverHealth® solution that is developing an essential platform and services for modern medical practices, today announced an integration partnership with Solv, an app that delivers everyday healthcare on-demand, equipping providers with the technology they need to improve patient access to quality healthcare, virtually or in person.
- The integration aims to ultimately provide a simple, friendly, and transparent experience that increases
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ONC Publishes the Trusted Exchange Framework and the Common Agreement
What You Should Know:
- The Office of the National Coordinator for Health IT (ONC) and its Recognized Coordinating Entity (RCE), The Sequoia Project, published the Trusted Exchange Framework and Common Agreement (TEFCA), creating the baseline legal and technical requirements that will enable secure, nationwide information sharing across different health care entities, completing a critical 21st Century Cures Act requirement.
- The release of TEFCA today marks the beginning of the
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Vibrent Health Accelerates Clinical Research through EHR Integration
What You Should Know:
- Vibrent Health today announced the integration of EHRs into its Digital Health Solutions Platform, enabling health researchers to immediately access a wealth of data – such as diagnoses, treatments, medications and lab results – that can provide a fuller, more accurate picture of a research participant’s health than data collected manually by researchers.
- Vibrent Health supports leading FHIR-enabled EHR vendors such as Epic and Cerner to ensure
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