Much of the buzz you hear about artificial intelligence (AI) or machine learning (ML) in healthcare is about its clinical applications, whether assisting doctors with diagnoses or customizing cancer treatment plans. But healthcare is a big industry, and the financial and administrative sides are immense and complex. The reality is AI and ML in healthcare are powerful tools […]
Hospital billing departments coordinate health plan benefits every day. Typically, coordination of benefits (COB) is aided by patient registration workflows that gather basic demographic and health insurance information. But what if a patient gets hurt on the job or in an automobile accident? How well does your organization collect the information needed to coordinate liability […]
Among the proposed new rules is one intended to clarify the contentious “Stark Law” On Oct. 9, the Centers for Medicare & Medicaid Services (CMS) issued a proposed rule to modernize and clarify the regulations that interpret the Medicare physician self-referral law (often called the “Stark Law”). The law prohibits physicians from making referrals for […]
The implementation of artificial intelligence into healthcare is becoming more widespread by the day. EHRs may have worked to improve data use among medical providers, but these tools are still far from perfect. Digital medical records have introduced a host of problems, including disrupting clinician workflows, limited interoperability, and creating data overload. But with the […]
Among the many examples of Artificial Intelligence, AI in healthcare is clearly one of the leaders. AI is already reshaping medicine in many ways, and its influence will only increase in the years ahead. To shed light on this major shift, I spoke with Dr. Krishnan Nandabalan, founder and CEO of InveniAI, an AI healthcare company based in Connecticut. We […]
President Donald J. Trump pushed back against his democratic rivals October 3 by signing an executive order aimed at taking the wind out of the sails of their Medicare for all propositions. The executive order says that the proposals calling for “Medicare for All” in the Senate would destroy the current Medicare program, and that […]
Big data and electronic health records — along with other technologies — could change the way long-term care is delivered. We’re living in an age of unprecedented technology. Back in the 1960s, when most of the residents at your long-term care facility were establishing their careers and rearing children, the first computers began appearing in […]
The Senate passed a continuing resolution that would temporarily stop the implementation of Medicaid DSH payment cuts until Nov. 22, 2019. CMS on Monday finalized a rule that will reduce Medicaid Disproportionate Share Hospital (DSH) payments by $4 billion next year and $8 billion a year until fiscal year 2025. The new final rule will implement Medicaid DSH payment […]
Pradeep Goel is the CEO of Solve. Care, a healthcare platform aimed at redefining care coordination. Recently, Solve.Care has made partnerships with healthcare organizations to implement it’s healthcare technology in the market. With more than 25 years of healthcare experience, Mr. Goel understands the demands of patients and providers. Below, Mr. Goel discusses how blockchain […]
CMS wants to identify bad actors -– even if they are or have been affiliated with a legitimate provider. On Sept. 5, the Centers for Medicare & Medicaid Services (CMS) issued a new final rule. There was not really a proposed rule to which comments and suggestions could be made; there were Federal Register entries […]