Healthcare's The Pulse Welcome to the 2023 Summer/Fall issue of Protiviti's healthcare newsletter, The Pulse, where we share a roundup of our most recently released thought leadership, past and upcoming events, key industry news, and much more. Revenue Integrity: Leveraging Data to Enhance Collaboration Across the Revenue Cycle AHIMA and Protiviti convened a panel of health information and revenue cycle professionals to explore best practices in revenue integrity and the role of health information, as well as how organisations can leverage data to enhance collaboration across the revenue cycle. Click below to learn how revenue integrity ensures a unified, systemic approach to revenue cycle optimisation, preventing... Revenue Integrity How Intelligent Automation Can Improve Healthcare Revenue Cycle Performance The opportunity for intelligent automation (IA) in revenue cycle provides for greater efficiency, efficacy and quality to drive improvements in net revenue through improved identification, capture and claims management for services rendered. Learn more below. Healthcare RPA and Intelligent Automation CY24 Hospital Price Transparency Alert The CMS CY2024 Proposed Rule introduces new requirements for the publication, attestation of an authorised hospital official, and reporting of hospital and payer negotiated charges in the machine-readable file that pose an additional administrative burden to maintain compliance into the new year, beginning as soon as March 1, 2024. Click below to view key takeaways and implications. CY24 Hospital Price Transparency Alert Generative Artificial Intelligence Healthcare Internal Audit professionals need to learn not only about generative artificial intelligence’s potential uses for delivery and management of healthcare, but also about its capabilities to support internal audit activity. At the same time, there is a need to understand hazards associated with its use and developing approaches to realising generative AI’s potential while managing its... Generative Artificial Intelligence 42nd ANNUAL AHIA CONFERENCE 42nd Annual AHIA Conference September 17-20 | SeattleJoin Protiviti at the Annual AHIA Conference this September! Healthcare Internal Auditors join to network, learn and share challenges in the Healthcare Auditing Environment.Registration is still open through September - be sure to join our sessions and Lunch & Learn unveiling the results from the Internal Audit Plan Priorities Survey and Publication on September 18. 42nd Annual AHIA Conference 2023 Top Healthcare Internal Audit Plan Priorities Lunch & Learn Session September 18 | SeattleProtiviti, in conjunction with AHIA, will release its 2023 Healthcare Internal Audit Plan Priorities Publication, following the conference. Join us as we discuss the top 10 internal audit plan priorities. We will discuss the key challenges healthcare organisations are facing, what internal audit is doing to assist in addressing the issues, and other hot topics that should be incorporated into future audit plans. Register Here PROTIVITI-LED SESSIONS Sunday, September 17 1:00 PM - 5:00 PM PST Pre-Conference: CAE RoundtableMonday, September1811:45 AM - 12:35 PM PST Lunch & Learn: 2023 Top Healthcare Internal Audit Plan Priorities (Sponsored by Protiviti)12:50 PM - 2:30 PM PST Evaluating the Performance of Outsourced Revenue Cycle Management Vendors12:50 PM - 2:30 PM PST Claims Audit - Operational Audit of Claims Processing and Claims Accuracy Audit 101 (Payer) Tuesday, September 19 9:50 AM - 11:30 AM PST From Requisition to Revenue - Auditing your Supply Chain for Improved Margins2:50 PM - 3:40 PM PSTInternal Audit Strategy for ERP ImplementationWednesday, September 208:00 AM - 9:40 AM PST Audit Data Analytics - The Journey to Maturity and Optimisation10:00 AM - 10:50 AM PST The Ongoing Pandemic of Cybersecurity Attacks HEALTHCARE BLOG Blog | Access Management Challenges in the Healthcare Industry Organisations across industries are being prompted to reevaluate their access management approach due to the evolving threat landscape, an emphasis on zero trust, new technologies, and the industry norm of frequent employee turnover. Read More Blog | Providers Could Gain Revenue as CMS Drug Claim Rules Change to Require JW and JZ Modifiers When the cost of single doses of some drugs can run more than $1 million, documenting wasted portions can enable healthcare organisations to capture significant revenue. For lower-cost drugs; however, healthcare providers have often skipped this step, finding the task of calculating and documenting waste too onerous in most electronic medical record (EMR) systems. Read More UPCOMING EVENTS & WEBINARS Webinar: Deterring Fraud, Waste and Abuse through Revenue Compliance Analytics Join presenters, Bryan Beaudoin, Associate Director, Kelsey Cavanaugh, Senior Manager and Landon Adkins, Director for a webinar on what regulatory agencies consider fraud waste and abuse, what are common clinical documentation, coding and billing pitfalls that may pose a compliance risk to the organisation and how to use data analytics to pinpoint these risks before the organisation comes under scrutiny from enforcement agencies.Date: September 6, 2023Time: 12:00 PM Noon ESTCPE: 1.2 credits for live attendanceRegister Here Session: Pennsylvania Three Rivers AAHAM - High-Value Revenue Cycle Assessments Join Protiviti Managing Director, Caroline Znaniec for a session on High Value Revenue Cycle Assessments, which will explore key revenue cycle areas in which hospitals are commonly at risk for not optimising revenue and will provide insights on how to best identify and assess for process improvement. Date: September 13, 2023Time: 3:00 PM ESTCPE: CPE EligibleRegister Here Webinar: HCCA Coding and Quality’s Role - Social Determinants of Health and Addressing Health Equity Protiviti presenters, Bryan Beaudoin, Associate Director and Kim Pardini-Kiely, Associate Director, will discuss the importance of Social Determinants of Health (SDoH) in improving health equity, understanding provider organisation’s patient population and how to leverage SDoH data to make improvements across the care continuum during this HCCA/SCCE webinar.Date: September 26, 2023Time: 1:00 PM ESTCEU: Up to 1.5 CEUsRegister Here Session: HCCA Board & Audit Committee Compliance Conference - Common Compliance Pitfalls: A Consultant's View Protiviti presenters, Leyla Erkan, Managing Director and Andy Smith, Director, will discuss where healthcare compliance programmes fall short of being considered effective, how to avoid common compliance pitfalls and how the Board and the C-Suite can aid compliance officers in recognising and remediating perilous programme gaps.Date: October 24, 2023Time: 12:45 PM ESTRegister Here OUR HEALTHCARE SOLUTIONSHealthcare is a strategic industry at Protiviti with dedicated professionals and a Healthcare Center of Excellence that is organised to innovate industry-specific solutions with a primary goal of becoming a mission-critical strategic partner to each of the organisations we serve.Accounting OperationsData Strategies & AnalyticsFraud, Risk & ComplianceInformation Technology & CybersecurityLegal ConsultingPeople Advisory & Organisational ChangeSupply Chain Operations & ResilienceClinical Excellence & Care TransformationDigital Initiatives & StrategiesHealth Information Management & Clinical CodingInternal Audit & AdvisoryPayer OperationsRevenue Integrity & TransformationTransactions