Since March 24, the Justice Department has sentenced, accused or settled with four physicians and four durable medical equipment company owner for fraud cases. The activity comes as CMS is currently enforcing a six-month nationwide moratorium on new Medicare enrollment…
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Ambulatory surgery centers (ASCs) have long operated with lean, highly efficient teams. But as the industry evolves, with rising case acuity, tighter payer scrutiny and expanding administrative requirements, staffing challenges are becoming less about headcount and more about access to…
A former Connecticut advanced practice registered nurse has been arrested on charges of submitting more than $1.35 million in fraudulent Medicaid claims for medication management services never rendered, the Justice Department said in a May 22 news release. Marisol Rodriguez,…
The Rural Health Transformation Program represents the largest federal investment in rural healthcare in decades — and for many health IT leaders, the question is which digital strategies are worth pursuing now. This whitepaper breaks down how ambient AI documentation…
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Denver-based GI of the Rockies has partnered with Cosan, an AI-enabled care management company, to launch a Principal Care Management program for patients with complex gastrointestinal conditions, according to an April 7 news release. The program extends clinical support beyond…
Inconsistencies and instability in the work setting can often find their way into the personal lives of anesthesia providers, leading to even more burnout and turnover. The lack of operational efficiency, consistent culture and advocacy from leaders has pushed many…
University of Iowa Health Care made one of the first enterprise-wide deployments of ambient speech technology and saw measurable results within months. After 70% of physicians cited documentation as a barrier to efficiency and patient care, leaders moved quickly. Within…
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Prior authorization has been under intense scrutiny in recent months as frustration brews among clinicians and legislators aim to curb the use of AI technology in the practice. Here are five recent developments reshaping the way prior authorization is deployed…
Gastroenterology continues to evolve rapidly as advances in colorectal cancer prevention, inflammatory bowel disease research, microbiome science and outpatient digestive care reshape the specialty. Across the U.S., gastroenterologists are leading breakthroughs in clinical research, patient education, quality improvement and healthcare…
Payers have historically treated spine surgery as a default hospital procedure, but that assumption is increasingly at odds with clinical reality. Advances in minimally invasive techniques, enhanced recovery protocols, and rigorous patient selection have made outpatient spine surgery a safe,…