The Justice Department’s scrutiny of Medicare Advantage risk adjustment is intensifying, with two recent settlements totaling nearly $1.1 billion highlighting federal concerns about diagnosis coding practices that can increase payments to health plans. The latest came Aug. 27, when The…
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Adventist Health has gone live on Epic across 27 hospitals and more than 440 clinics in California, Oregon and Hawaii, completing the largest technology implementation in the health system’s history. The transition began Aug. 30 and moves the Roseville, Calif.-based…
Beth Cavanaugh, RN, MSN, director of clinical services at The START Center for Cancer Care, leads infusion center and clinic operations across the organization’s San Antonio locations. As patient volume grew, the independent oncology practice faced a familiar question: Did…
Health systems have spent years rolling out AI tools that draft notes, summarize charts, and answer patient messages. The next wave is different: AI agents that can take actions on their own — placing orders, flagging results, closing gaps in…
Ruston, La.-based Northern Louisiana Medical Center has until Oct. 1 to correct patient care deficiencies or lose its Medicare funding, according to CBS and ABC affiliate KNOE. The 130-bed hospital, operated by Shreveport, La.-based Allegiance Health Management, must submit an…
Health systems are expanding partnerships with Big Tech companies as they race to deploy AI, modernize infrastructure and improve cybersecurity. Here are five collaborations involving Amazon, Microsoft and Google reported on in the past month: 1. Mishawaka, Ind.-based Franciscan Health…
Of employed adults who could be enrolled in Medicaid expansion and face upcoming work requirements, 19.8% are at risk of noncompliance due to their hours. Under HR 1, many expansion enrollees will need to work, attend school or volunteer for…
Epic has asked the Wisconsin Court of Appeals to uphold the dismissal of a lawsuit brought by Veeva Systems challenging Epic’s noncompete agreements. The life sciences software maker sued the EHR giant in January, arguing Epic’s restrictive covenants unreasonably restrict…
Jason Siedman has been named vice president of revenue cycle operations for Boston Children’s Hospital, according to an Aug. 31 LinkedIn post. Prior to his new role, Mr. Siedman served as vice president of revenue cycle management for Marietta, Ga.-based…
Karen Brown came to Heart of the Rockies Regional Medical Center in Salida, Colo., in January as the hospital’s new revenue cycle director, bringing more than a decade of revenue cycle experience in North Dakota and Indiana to a Colorado…