Leslie Vasquez, Federal Value-Based Care Lead at Accenture Federal Services
Implementing a new VBC program in healthcare requires cross-functional support and overcoming numerous challenges. Simplification opportunities exist to address pain points for program administrators such…
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Physician advisory programs, which educate clinicians in peer-to-peer fashion, are growing in several ways. This video at the AHIMA Annual Conference explores the many uses of these programs, as well as how to implement…
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Naomi Murphy, J.D., Senior Vice President, COB and Data Mining, Cotiviti
Coordination of benefits (COB) is a key component of any effective payment integrity program. But determining primacy for members with multiple plans and ensuring…
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The following is a guest article by Mark Noel, SVP and GM of ClaimInsight at AMPS
As health plans face escalating medical costs and increasing scrutiny over member and provider satisfaction, a critical strategic challenge…
Ritesh Ramesh, the CEO of MDaudit offering their flagship revenue integrity software platform, enabling organizations to reduce compliance risk, improve efficiency and retain more of their revenue stream joins eHealth Radio. and the Health…
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Robert Starman, SVP of Payment Integrity Services at Sagility
Payment integrity (PI) is an essential component of the healthcare ecosystem, ensuring that payers correctly process claims and prevent financial losses due to errors, fraud, or…
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Last week’s HLTH 2025 conference in Las Vegas signaled a definitive shift in the healthcare industry: AI has moved past the hype cycle and is now a core utility focused on execution, accountability, and…
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What You Should Know:
– Cleveland Clinic, one of the top academic medical centers in the U.S., has significantly expanded its partnership with AKASA, a leader in healthcare AI, to deploy an advanced Clinical Documentation…
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Right to left: Louise Simpson, director of operations at Psicon, and Janelle Bierdeman, manager of healthcare solutions at MHS (Credit: Psicon and MHS)
In the face of rising demand for ADHD and autism spectrum…
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Cindi Carter, Chief Information Security Officer at Check Point Software Technologies
In 2024 alone, more than 276 million patient records were compromised in cyber attacks targeting healthcare organizations, a figure that equates to 758,000 exposed…
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