Health systems process enormous volumes of protected health information every day, which makes every facility a high-value target. Most IT teams already treat encryption as a baseline defense. Fewer can prove the encryption they rely on actually works as promised.…
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Hospitals lose millions of dollars each year to decisions made before a patient is ever discharged. The most consequential is often the first: whether to classify a patient as observation or inpatient — a single choice that can alter reimbursement…
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Ten California addiction providers filed a lawsuit against Cigna on Aug. 19, claiming the insurer shortchanged them by $12.8 million. The lawsuit spans March 1, 2022, through March 15, 2026. Before 2015, Cigna would pay billed charges in full or…
San Diego County is advancing plans for a $240 million behavioral health campus, according to an Aug. 20 report from KUSI News. The approximately 120,000-square-foot campus will provide crisis care, mental health treatment, addiction services and recovery support. The county…
The FDA cleared Wave Neuroscience’s MeRT System — a transcranial magnetic stimulation, or TMS, system — as an adjunct for the treatment of adult patients with post-traumatic stress disorder, according to a June 3 letter. The agency determined the device…
Nashville, Tenn.-based Mental Health Cooperative named Andrea Westerfield CEO, effective Sept. 8. Ms. Westerfield will return to the organization after previously serving in senior leadership roles there, including as COO, according to an Aug. 21 news release shared with Becker’s.…
Talkspace is using AI across its clinical workflow and patient-facing services, including through Tee, its AI-powered mental health guide, according to an Aug. 18 CO— by the U.S. Chamber of Commerce report. The digital mental health platform provides access to…
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…
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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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