Healthcare's The Pulse

Healthcare's The Pulse

Welcome to the 2023 Q1 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.

Healthcare's The Pulse

2023 Healthcare Top Risks Report and Webinar

Healthcare Top Risks Report

Healthcare organisations face a dynamic and uncertain risk landscape in the near and long term

Protiviti recently released the 2023 Healthcare Top Risks Survey report which illuminates the views of healthcare board members and C-suite executives about risks affecting the healthcare industry and their organisations in 2023, as well as over the next 10 years. 

In addition, Protiviti hosted a panel discussion webinar that showcased how professionals in the healthcare industry are addressing workforce, business performance, compliance and privacy, cybersecurity, and digital and innovation risks across multiple organisations.

2023 Healthcare Top Risks Resources
Healthcare Top Risks Report
Audits to Address Healthcare Industry's Top Risks

Webinar | Audits to Address Healthcare Industry's Top Risks

Protiviti recently hosted a webinar, Audits to Address Healthcare Industry's Top Risks, with the Association of Healthcare Internal Auditors (AHIA) based on Protiviti's recently released 2023 Healthcare Top Risks Survey report and webinar. 

Listen as Protiviti experts take a deeper look at the top risks and the audits that internal audit professionals can perform to address workforce, business performance, compliance and privacy, cybersecurity, and digital and innovation risks.

Listen Now

UPCOMING EVENTS AND WEBINARS

April 23-26 | Anaheim

Protiviti is a proud sponsor of the 27th HCCA Annual Compliance Institute. Additionally, Protiviti speakers Kayla Huisenga and Calin Elardi will be presenting Project Lifecycle From Launching to Landing on April 23. If you are attending, please plan to join our session. Details on the conference are below.

27th HCCA Annual Compliance Institute


 

Chief Compliance Officer Roundtable

May 2023 | New York City

Protiviti invites healthcare compliance and regulatory officers to a roundtable discussion on current regulatory issues, challenges with new legislation and recently released regulatory compliance measures. Click below to request an invitation.

Request Invitation

May 9, 2023 | Dallas

Please join Protiviti and your healthcare compliance peers for a discussion on hot topics in healthcare compliance. Once registered, attendees will be surveyed for discussion topics to help guide our discussion to what matters most to our attendees. Click below to request an invitation.

Request Invitation


 

AHIA Central Regional Seminar

June 6-7, 2023 | Chicago

AHIA and Protiviti will be hosting AHIA’s central regional seminar in Chicago this summer. If you are a healthcare internal auditor in the area, please register for the seminar.

Request Invitation

 

Protiviti’s team of healthcare coding and clinical documentation experts are presenting at the Healthcare Information Management Association (HIMA) summer and fall regional conferences across the U.S. If you are a HIMA member and will be in attendance at any of the conferences below, please be sure to join any of our sessions listed below.

April 13

Oklahoma HIMA - Integrating Analytics to Develop a Comprehensive Risk-based Coding Compliance Plan

 

May 17

Wisconsin HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse

 

May 18

Oregon HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse

 

May 7

National ACDIS Conference - Effective and Compliant Hierarchical Condition Category Auditing

April 21

Illinois HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse

 

May 17

Louisiana HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse

 

July 10

Florida HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse

 

HEALTHCARE BLOG

Healthcare Blog

Blog | Healthcare Payer Audits

Each year, healthcare payers spend untold hours correcting errant claims, draining critical resources that could be used more profitably elsewhere. While payer organisations may be conducting reviews and employing payment integrity vendors to solve pieces of the problem, many are still falling short, as improper payments in the aggregate have not significantly improved over time. Read our recent blog post to understand the validation tools to validate claims pricing and integrity.

Read More

PAST EVENTS AND WEBINARS

HFMA New York Metropolitan Chapter Regional - NYC

Protiviti was proud to sponsor the New York Metropolitan HFMA chapter's regional educational panel "Healthcare Budgeting for the Future" last month.

2023 RISE National Conference

Protiviti was proud to sponsor the 2023 RISE National Conference in Colorado Springs, CO March 6-8. Our team also hosted a roundtable on the impact of the Medicare Advantage RADV audit Final Rule.

Protiviti helps health plans across all lines of business, PBMs, TPAs, state Medicaid agencies, self-funded employers and more operationalise and execute solutions to enhance business performance and drive sustainable growth.

For more information reach out to Beau Fidler, managing director - Healthcare Payer practice leader.

 

OUR HEALTHCARE SOLUTIONS

Healthcare 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.

Clinical Excellence & Care Transformation

Data Strategies & Analytics

Digital Initiatives & Strategies

Financial & Operational Performance

Fraud, Risk & Compliance

Health Information Management & Clinical Coding

 Information Technology & Cybersecurity

Internal Audit & Advisory

Legal Consulting

People Advisory & Organisation Change

Revenue & Payment Integrity

Supply Chain Operations & Resilience

 

 

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