Healthcare compliance is a critical aspect of the healthcare industry, ensuring adherence to federal healthcare laws and regulations. It plays a vital role in preventing fraud, abuse, and waste, while upholding ethical standards for patient treatment. However, healthcare compliance is not a simple or straightforward task.
HITRUST Risk-based, 2-year (r2) Certification validates BHM Healthcare Solutions, Inc., is committed to strong cybersecurity and meeting key regulations to protect sensitive data.
One such transformative field is healthcare informatics, which harnesses the power of information technology and data analysis to improve patient care, enhance operational efficiency, and drive innovation.
Medicare Advantage plans are a popular alternative to Original Medicare for many seniors who want more coverage and flexibility. But what exactly are Medicare Advantage plans and how do they work?
Healthcare auditing plays a crucial role in ensuring the delivery of quality care and adherence to standards within healthcare organizations. By systematically assessing performance, healthcare audits provide valuable insights into areas of success and areas that require improvement. Let's explore the importance of healthcare auditing in more detail.
Effective healthcare strategies play a vital role in driving better health outcomes for patients and populations. This blog post discusses examples of effective healthcare strategies and provides tips for developing and implementing them.
Unlocking healthcare efficiency and quality: Discover the power of utilization management. Optimize care, enhance patient safety, and reduce costs with this essential strategy. Read more to streamline healthcare delivery effectively.
Unveil the vital role of the physician reviewer in healthcare. Explore their training, challenges, and opportunities in ensuring quality care.
Physician advisor (PA) reviews play a crucial role in improving patient outcomes by facilitating various processes within healthcare organizations. PAs act as liaisons between hospital administration, clinical staff, and support personnel to ensure compliance with regulatory issues, advise physicians on medical necessity, and help achieve overall organizational goals related to the efficient utilization of healthcare services. Physician advisors contribute to better patient outcomes through several key activities.
Medicare Advantage growth aggravates prior authorization burdens in several ways. Most medical groups, providing care to patients with Medicare Advantage plans, must comply with more prior authorization requirements.