In the intricate dance of healthcare administration, prior authorization often feels like an unwelcome and time-consuming interruption. The manual processes involved – phone calls, faxes, and endless paperwork – not only burden staff but also create significant bottlenecks that can lead to delayed patient care, increased operational costs, and, critically, a higher rate of claim […]
The rise of telehealth has revolutionized healthcare delivery, offering convenience and accessibility for patients and providers. However, this shift brings its own set of challenges, particularly when it comes to Revenue Cycle Management (RCM). Addressing these challenges effectively through Telehealth RCM Optimization Tips is crucial for ensuring financial health, minimizing claim denials, and maximizing revenue […]
Discussions about artificial intelligence (AI) and machine learning (ML) in healthcare often focus on clinical applications—assisting doctors with diagnoses or personalizing cancer treatments. However, healthcare is a vast industry with equally complex financial and administrative components. AI and ML are revolutionizing these behind-the-scenes processes, improving provider efficiency, reducing costs, and enhancing the patient experience. Enhancing […]
The Department of Health and Human Services (HHS) has introduced proposed regulations aimed at strengthening cybersecurity in the healthcare sector. Issued by the Office for Civil Rights (OCR), the proposed rule seeks to amend HIPAA to enhance the safeguarding of individuals’ protected health information (PHI) in compliance with HIPAA cybersecurity regulations. Content Highlights: Overview of […]
As healthcare providers move into 2025, a technological revolution is reshaping revenue cycle management (RCM). Healthcare RCM with AI has emerged as a decisive factor in determining financial success or failure. With nearly 46% of hospitals and health systems already leveraging AI in their RCM operations, the industry faces a pivotal moment where keeping pace […]
Compliance with federal price transparency rules among hospitals dropped significantly, from 34.5% in February to 21.1% in November 2024, per a report by Patient Rights Advocate (PRA). This decline highlights the challenges in achieving full Hospital Price Transparency Compliance. The drop is attributed to weak federal enforcement, which has allowed hospitals to obscure pricing information […]
Healthcare payment integrity is a crucial aspect of efficient claims processing, and its improvement can significantly reduce costs and improve patient care. Healthcare costs continue to climb, burdening patients, providers, and insurers alike. A significant driver of this issue is the inefficiency of healthcare administration, particularly in claims processing. Despite standardized claim formats, outdated systems […]
Medicare Telehealth Policy Changes are set to reshape the landscape of telehealth services. As the COVID-19 public health emergency ends, Medicare will revert to pre-pandemic policies, imposing stricter rules for telehealth services starting January 1, 2025, unless Congress intervenes. Key changes include: Geographic Restrictions: Patients must generally live in a health professional shortage area, a […]
A new survey reveals a significant rise in cyberattacks on healthcare organizations since 2023. These attacks have led to substantial disruptions in patient care, with the average attack costing organizations nearly $1.5 million. According to the survey, 92% of healthcare IT and security professionals reported at least one cyberattack in the past year, up from […]
Healthcare providers face a rising tide of Healthcare cyberattacks, which can have devastating consequences. These attacks are becoming more frequent and costly, and healthcare organizations are spending more than any other industry to recover from them. Small Practices at Risk: Small healthcare providers are particularly vulnerable to Healthcare cyberattacks due to limited resources and staff. […]