Tag: Learning

Retrieving Billions in Overpayments by CMS

Retrieving Billions in Overpayments by CMS

Healthcare IT Today

Amid swirling accusations that Medicare Advantage Organizations (MAOs) are overbilling the U.S. government and calls for better oversight, the Centers for Medicare & Medicaid Services announced in early February that it would investigate overbilling by those plans. They expect to recoup 4.7 billion dollars through this program.
This article focuses on the relatively young technologies that enable CMS to uncover overbillings, whether they be errors or fraud. The article is based on an interview with Kel Pults, chief clinical officer and vice president of MediQuant. A future article will explain how Medicare Advantage plans are trying to improving data collection and reporting,…

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What the metaverse and virtual reality can contribute to healthcare

What the metaverse and virtual reality can contribute to healthcare

Healthcare IT news

The so-called metaverse and virtual reality are up-and-coming technologies that could offer healthcare quite a bit.Medical practitioners can test out the effectiveness of new surgical methods in the metaverse before attempting on real patients. And as an extension of telehealth, medical professionals can use virtual reality to access patients and examine them virtually.
What exactly is the metaverse? How does virtual reality work? What can they contribute to healthcare? And where will these technologies offer innovations in the years to come?
To get answers to these questions, we sat down with Pari Natarajan, CEO of Zinnov, a global management and consulting firm focusing…

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Q&A: How the PHE's end could affect telehealth, patient care

Q&A: How the PHE’s end could affect telehealth, patient care

MobiHealthNews

The public health emergency declared in early 2020 was put in place to provide waivers from the Centers for Medicare and Medicaid Services to ease the burden on hospitals and other providers during the pandemic. It has been extended 12 times since its implementation and is finally slated to end on May 11. Heather Meade, principal at Washington Council Ernst & Young, spoke with MobiHealthNews about how the end of the PHE could affect telemedicine companies’ funding streams and patients’ access to care.  
MobiHealthNews: What are the benefits and detriments to the PHE ending, especially for telehealth?
Meade: I mean, we need permanent policy…

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News 2/17/23

News 2/17/23

HIStalk

Top News

Unified communications and collaboration services vendor Avaya, whose healthcare offerings include solutions for virtual care, collaboration, and patient access technology, files for Chapter 11 bankruptcy for the second time in six years.
The Durham, NC-based company reported lower than expected revenue and earnings last year, blaming accounting problems with its cloud subscription revenue, after which it replaced its CEO.
AVYA share price has dropped 98% in the past 12 months, valuing the company at $24 million.

Reader Comments From Baby Payer: “Re: IVF coverage. In an example of our messed up healthcare system, women are taking Amazon jobs and quitting after…

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Health Transformation Alliance Teams up With Cognoa for Autism Diagnostic Device

Health Transformation Alliance Teams up With Cognoa for Autism Diagnostic Device

MedCity News

The Health Transformation Alliance (HTA), a group of nearly 60 large employers, announced Thursday it is partnering with pediatric behavioral health company Cognoa for its diagnostic device for autism.
HTA is a cooperative of self-insured employers, including Walgreens, CocaCola, Verizon and American Express. Palo Alto, California-based Cognoa, meanwhile, is a developer of AI-based technologies for early diagnosis of children with developmental and behavioral health conditions. Its Canvas Dx product is authorized by the Food and Drug Administration and assists healthcare providers in diagnosing autism spectrum disorder for children ages 18 months through 72 months. The product is the first of its sort…

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Ensuring digital health solutions help, not harm

Ensuring digital health solutions help, not harm

MobiHealthNews

A healthcare risk prediction algorithm used on more than 200 million people across the country was found to demonstrate racial bias.One-third of the top 100 hospitals in the U.S. were found to be using a tracking tool called Meta Pixel to collect and send patients’ personal health information to Facebook without their consent.
Pulse oximeters – digital products that use infrared light beams to measure the amount of oxygen in the blood – have transformed the way we care for people with conditions from heart failure to COVID, but are inaccurate for people with dark skin.
How do these egregious practices pass through…

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Digital as the Differentiator for Biopharma and Medtech

Digital as the Differentiator for Biopharma and Medtech

MedCity News

With the Inflation Reduction Act now on the books, the U.S. Centers for Medicare & Medicaid Services (CMS) will begin negotiating drug prices with the pharmaceutical industry. That, combined with other headwinds such as increased competition from me-too drugs, and ever-present pricing pressure from payers, means that pharma players now more than ever need a new and powerful tool to differentiate their products. We believe the next decade of transformation is digital.
Learning from the auto industry Almost every industry has had to confront a fundamental existential question: What is our product? Consider the automotive industry, which once was largely about hardware…

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Mylab leverages Qure.ai's tech to enhance TB screening

Mylab leverages Qure.ai’s tech to enhance TB screening

MobiHealthNews

Indian biotech company Mylab Discovery Solutions is integrating Qure.ai’s AI technology into its upcoming x-ray device for screening tuberculosis.According to a press statement, MyBeam is a compact, lightweight device equipped with high-frequency technology for detecting TB. It will be powered by Qure.ai’s deep-learning software qXR to analyse chest x-ray images and identify TB within a minute. 
WHY IT MATTERS
India is one of the biggest contributors to global TB cases, accounting for 26% of the total global count and 34% of all TB deaths.
By leveraging technological innovation, both Mylab and Qure.ai aim to support the Indian government’s goal of eliminating TB by 2025. Their integrated…

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Experian Health Launches AI-Driven Predictive Denials Management

HIT Consultant

What You Should Know:– Experian Health launches a new AI-Powered solution, AI Advantage that will help providers recoup the billions in lost dollars due to insurance claim denials. – These new solutions leverage AI and help healthcare providers prioritize their claims reimbursement process and decrease denials overall, saving time and money across the entire healthcare value chain and ultimately improving care and service for patient consumers.AI Advantage[embedded content]One of the top contributors to wasted healthcare dollars is due to the claims process, reported at more than $250 billion per year. Additionally, 35 percent of hospitals and health systems report $50 million or more in…

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