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Health IT & Digital Health-Opinion | Op-Eds | Guest Columns | Analysis, Insights - HIT Consultant

No More Surprises: Automation Ensures Compliance, Mitigating Penalties

by Eric Demers, CEO of Madaket Health 10/17/2023 Leave a Comment

No More Surprises: Automation Ensures Compliance, Mitigating Penalties

The No Surprises Act (NSA) is a bipartisan effort to protect patients from unexpected healthcare expenses. This law is good news for patients, with a KFF poll showing that 1 in 3 insured adults between 18 and 64 received an unexpected medical bill in the prior two years. The NSA aims to make the cost of care more transparent and minimize surprise billing, which can cause significant financial burdens through higher out-of-pocket expenses and denied claims. Under the NSA, patients now receive
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Ozempic: From Diabetes Management to Potential Weight Loss Miracle

by George Kramb, CEO and co-founder of PatientPartner 10/16/2023 Leave a Comment

Ozempic: From Diabetes Management to Potential Weight Loss Miracle

You've probably heard about Ozempic, especially if you're one of the millions who regularly scroll through TikTok or browse other social media platforms. It's the drug that influencers are lauding as a revolutionary aid for weight loss, making it a hot topic of conversation.  While Ozempic was initially developed to manage Type 2 diabetes, its emerging potential for weight loss is captivating medical professionals and the public alike. How Ozempic Works: The Basics Ozempic is a
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Embracing a Forward-Thinking Vision to Address the Senior Care Crisis

by Francis LeGasse, Jr., Owner & Managing Partner, Assured Senior Living & Katherine Wells, CEO, Serenity Connect 10/13/2023 Leave a Comment

Embracing a Forward-Thinking Vision to Address the Senior Care Crisis

A demographic shift is looming, and we aren’t as prepared as we think. Colorado has long been revered for its stunning landscapes and outdoor pursuits, earning a reputation as a state with a youthful and active population – but, we are aging. By 2050, Colorado’s number of older adults is expected to more than double to 1.7 million, second only to Alaska in the U.S. for the fastest-growing population of people over 65. Nationwide, the 85 and older population is projected to more than double
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The Case for a Credential Wallet in Healthcare Staffing: Increasing Efficiency, Compliance & Profit

by Eric Ly, Founder & CEO of KarmaCheck 10/12/2023 Leave a Comment

The Case for a Credential Wallet in Healthcare Staffing: Increasing Efficiency, Compliance and Profit

Healthcare staffing, an essential pillar of the U.S. healthcare system, involves a myriad of entities, including healthcare providers, facilities, staffing agencies, credentialing bodies and regulatory agencies. At the heart of this process lies the critical function of credentialing — the rigorous verification of clinician qualifications–and how the system is reimbursed. As the industry grapples with a profound staffing shortfall, all stakeholders in the healthcare industry need to focus on
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The Role of Qualified Medical Interpreters in Achieving Section 1557 Healthcare Compliance

by Carla Fogaren R.N., Certified ADA Coordinator, Principal Consultant for AMN Healthcare Language Services 10/11/2023 Leave a Comment

The Role of Qualified Medical Interpreters in Achieving Section 1557 Healthcare Compliance

For the last decade, Section 1557 has been at the center of many changes and today, it continues to be as the Biden administration is working to take giant steps towards restoring and strengthening some civil rights protections for people in many health-related programs and activities that receive funding from the federal government. Section 1557, known as the “Health Care Rights Law,” is the main nondiscrimination provision of the Affordable Care Act (ACA). It prohibits discrimination in
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Digitizing and Streamlining Surgeon Preferences Improves Operational Efficiency and Patient Safety

by Aileen Killen, Ph.D., RN, CPPS, Director of Perioperative Operational Excellence, LiveData 10/10/2023 Leave a Comment

Digitizing and Streamlining Surgeon Preferences Improves Operational Efficiency and Patient Safety

In the dynamic world of healthcare, preference cards serve as crucial tools that capture a surgeon’s specific needs and preferences for each type of surgical procedure they perform. These cards typically outline the equipment, instruments, and supplies required for a particular procedure, providing a personalized roadmap for surgical teams to follow. By detailing these specifications, preference cards help streamline surgical planning, foster improved communication among the operating room (OR)
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Automation Fills Gaps Left by Revenue Cycle Talent Shortage

by Noel A. Felipe, CRCR, SVP & Revenue Cycle Practice Leader, Firstsource 10/09/2023 Leave a Comment

Automation Fills Gaps Left by Revenue Cycle Talent Shortage

Healthcare providers are feeling the industry’s talent shortage in their administrative functions as well as clinical areas. One case in point: revenue cycle management. In a recent study, 63% of healthcare providers reported an inability to fill key revenue management roles. Reduced revenues and cash reserves are almost inevitable when providers don’t have sufficient staff to follow up on claims, manage appeals and help patients understand their financial responsibilities and
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Expectation vs. Reality: Improving the Patient Payment Experience

by Ryne Natzke, Chief Revenue Officer, TrustCommerce, a Sphere Company 10/06/2023 Leave a Comment

If you’ve ever worked behind the scenes at a provider organization, you likely gained a deep understanding of what makes medical practices tick, giving you the ability to make fairly accurate assumptions about how patients will probably behave in different scenarios. However, when it comes to the patient payment experience, inevitably some patients respond differently than expected. Seasoned healthcare workers have likely experienced a number of common misconceptions about patients’
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Will Healthcare Let AI Fix The Slow-Motion Crisis of Physician Burnout?

by Deepthi Bathina, CEO of RhythmX AI 10/06/2023 Leave a Comment

Will Healthcare Let AI Fix The Slow-Motion Crisis of Physician Burnout?

When I ask primary care physicians about their biggest problems today, they share the excruciating pain they experience as the American healthcare system pushes them towards administrative work rather than letting them focus on true patient care and clinical excellence.  Some doctors described themselves as "square pegs in a round hole" for bridling under the system’s bureaucratic constraints. Others feel stuck in a "transactional world" of recordkeeping. They yearn to spend more time
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Making the Case for AI in Patient Experience and Education

by Dr. Justin Schrager, Chief Medical Officer of Vital Software 10/05/2023 Leave a Comment

Making the Case for AI in Patient Experience and Education

As a physician, I’m captivated by artificial intelligence’s (AI) potential to revolutionize care, while simultaneously acknowledging the apprehensions that accompany such advancements — in particular the more topical large language models (LLMs) and generative AI. Ready or not, there’s no question that AI will impact our industry; in fact, the market is expected to grow from $14.6 billion in 2023 to a staggering $102.7 billion in just five years. An expanding array of use cases In my
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