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CMS said its enforcement efforts have resulted in blocking more than $1.6 billion in possibly improper Medicare lab payments throughout President Trump’s…
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For a 197-bed community hospital in the remote Four Corners region — the sole health system 180 miles from the nearest major city — surgical access is a community lifeline. But manual, Excel-based OR tracking created bottlenecks, operational blind spots…
Presented by:
- Carlo Hallak, MD, Physician Informatics Executive, San Juan Regional Medical Center
- John Gaede, CPHIMS, MLS (ASCP), Chief Information Officer, San Juan Regional Medical Center
Payers are applying artificial intelligence to examine more claims and apply adjudication logic at a scale most organizations cannot match. Industry research shows 84% of health insurers report using AI or machine learning in some capacity. Providers are unlikely to…
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Growth is on the table for a lot of organizations right now: new locations, a multi-specialty acquisition, possibly a private equity partner. The revenue cycle has to scale with it.A hybrid model creates that room. Keep the functions your team…
Presented by:
- Jerrilyn Ivey, CCS-P, CPCD, CPMA, MHA, MBA, Vice President, Revenue Cycle Management, NextGen Healthcare
Nearly 90% of health IT leaders say their operations have to change to keep pace with rising clinical, regulatory and financial complexity, according to a 2026 survey from CHIME. Eighty percent of them called interoperability a baseline expectation rather than…
Presented by:
- Zach Grieshop, AVP Technical Services, CereCore
There was no single metric that told Dr. Mary Affee her practice had outgrown its operations, and that was the frustrating part. She had built Horizon Integrated Wellness in Cary, N.C., from the ground up as a clinician. The systems…
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Presented by:
- Dr. Mary Affee, Founder and CEO, Horizon Integrated Wellness
- Shikhar Khanna, Founding Member, Nanonets Health
The ROI of Unification: Why Smart Organizations Are Shifting to End-to-End RCM—And How Yours Can Too
Efficiency is the key to unlocking yield that can be reinvested into your organization and patient outcomes. But with separate revenue cycle solutions, even if they’re successful on their own, efficiencies can’t be maximized—and neither can your yield. In this…
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Picture a system where at-risk patients are flagged for early intervention, where primary care has the tools to act, and where coordinated, multidisciplinary care is delivered at scale. For most organizations, that picture is blocked by fragmented care and siloed…
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Frank Caporusso will serve as COO of Blue Shield of California, effective Sept. 1. According to an Aug. 27 news release, the company reconfigured its COO role. Mr. Caporusso will lead enterprise-wide operations, collaborate with the executive leadership team on…
A state grand jury determined that $10 million from a Centene Medicaid settlement was “misappropriated” under Florida Republican Gov. Ron DeSantis’ administration, according to a Jan. 28 sealed document obtained by CBS News Miami. Despite the findings, the document said…
Mona Chitre, PharmD, will serve as the market president for the newly created employer and government markets segment under Optum Rx, UnitedHealth Group’s pharmacy benefit manager. Dr. Chitre will begin her role Aug. 31, according to an Aug. 26 LinkedIn…
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Building Resilient Healthcare Supply Chains Through Data Management
Presenters: Jennifer Krupp, InforVicki Dardenne, Baptist HealthMelissa Amell, Symmetric Health Solutions
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