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Nashville, Tenn.-based Mental Health Cooperative named Andrea Westerfield CEO, effective Sept. 8. Ms. Westerfield will return to the organization after…
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Bring external payer data into a health system and it can look like a one-time integration project — connect, map, deliver, done. It rarely works that way. Teams must track expected files, validate incoming data, interpret payer-specific formats, reconcile claims…
Presented by:
- Rob Pinataro, CEO, Health Data Innovations
- Christopher Ragsdale, Founder and Principal, Towers Advisory
- John Supra, Founder and Managing Member, Better Health Matters
- Jonathan Kaye, Founder and Executive Chairman, Health Data Innovations
Federal auditors found that 13 percent of the prior authorization requests Medicare Advantage plans denied met Medicare coverage rules, care that likely should have been approved. The pressure that creates lands on the revenue cycle. This report shows how health…
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Hospital revenue loss rarely begins with a bad claim. It often begins days or weeks earlier, when a service is scheduled before authorization requirements are confirmed, documentation is incomplete or the final service no longer matches what was approved. That…
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A fully staffed perioperative team is essential to safe, efficient surgical care — and rising procedural demand, clinician shortages and anesthesia constraints keep testing it. But workforce shortages are only half the problem. The other half is deployment: getting the…
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UPMC Children’s Hospital of Pittsburgh has plans for a $10 million expansion of pediatric behavioral health and subspecialty services at its Children’s South campus, NPR affiliate WESA reported Aug. 20. The expansion will add services to a previously unused fourth…
Phoenix-based Arizona Autism Family Medicine: A Valle del Sol Clinic opened a primary care clinic to serve children and young adults across the autism spectrum, according to an Aug. 18 report from KTAR News. The clinic is on Arizona Autism…
President Donald Trump said the University of Miami has given the federal government its original 1994 ibogaine Investigational New Drug application. The application will give “everyone direct access to the foundational FDA authorization to accelerate its development as a medical…
by: LocumTenens.com Mergers, physician group exits and service line changes rarely arrive with a convenient pause. Schedules still need filling. Quality and safety metrics still need to hold. And whoever owns clinical staffing suddenly faces a problem that looks nothing…
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From a 292-bed state-funded psychiatric hospital in Texas to New Mexico’s only children’s emergency psychiatric unit, hospitals and health systems are expanding behavioral health access as demand continues to grow, representing more than $730 million in investment. Here are 25…
Somerville, Mass.-based Mass General Brigham has launched the first clinical trial in the country testing a Home Hospital model for patients with primary psychiatric conditions, alongside a second trial extending Home Hospital care to patients with dementia. The pilot trial, funded by…
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Why positioning injuries still happen in spine cases that follow the rules
Presenter: Jen Anzalone MSN, RN, CNOR, CSSL, NPD-BC, NE-BC, J. Anzalone Consulting
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