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.
2023 Healthcare Top Risks Report and Webinar
Healthcare organizations 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 organizations 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 organizations.
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.
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.
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.
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.
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.
Oklahoma HIMA - Integrating Analytics to Develop a Comprehensive Risk-based Coding Compliance Plan
Wisconsin HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse
Oregon HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse
National ACDIS Conference - Effective and Compliant Hierarchical Condition Category Auditing
Illinois HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse
Louisiana HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse
Florida HIMA - Using Data Analytics to Identify Clinical Documentation and Coding Fraud Waste & Abuse
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 organizations 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.
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 operationalize 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 organized to innovate industry-specific solutions with a primary goal of becoming a mission-critical strategic partner to each of the organizations 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
People Advisory & Organization Change
Revenue & Payment Integrity
Supply Chain Operations & Resilience