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by Rebekah Ninan This past month, California Governor Gavin Newsom signed a wave of artificial intelligence-related legislation into law. Much public debate has been focused on SB 1047, a proposal ultimately vetoed by Governor Newsom, which would have held AI companies liable for “ catastrophic harms ” from AI models. Comparatively little attention has been paid to three new laws aimed at health care-related AI and data privacy.
Internal audits and monitoring are essential practices to ensure coding and billing compliance, protect revenue, and defend against payer audits and clinical denials. However, with limited time and resources, it becomes impossible to internally review every physician, patient type or risk area. In the October edition of HCCA Compliance Today , MRO senior director of revenue cycle, Dawn Crump and program manager of revenue integrity, Garnette McLaughlin, discuss new strategies for internal aud
The following is a guest article b y Erin Weber , Chief Policy and Research Officer at CAQH Accurate provider data is foundational to the healthcare ecosystem. It guides decision-making, helps patients access the care they need, and keeps operations running smoothly behind the scenes. And while we’ve all acknowledged the challenge of keeping provider data up-to-date and error-free—especially with frequent changes in practice locations, credentials, and network participation—what we don’t talk ab
The Coalition for Health AI (CHAI) announced the completion of two draft documents on Friday that may have a big effect on the future of AI in healthcare. | After Deputy Secretary Andrea Palm announced that HHS will work with industry to develop a national network of quality assurance labs for AI, CHAI is releasing two draft documents that spell out how to certify those assurance labs and an AI "nutrition label" for healthcare decision-makers.
Speaker: Simran Kaur, Co-founder & CEO at Tattva.Health
AI is transforming clinical trials—accelerating drug discovery, optimizing patient recruitment, and improving data analysis. But its impact goes far beyond research. As AI-driven innovation reshapes the clinical trial process, it’s also influencing broader healthcare trends, from personalized medicine to patient outcomes. Join this new webinar featuring Simran Kaur for an insightful discussion on what all of this means for the future of healthcare!
The bill, announced last month by Sens. Ron Wyden and Mark Warner, is a good step forward, but hospitals may need more funds to boost their cybersecurity practices, experts say.
What You Should Know: – Google Research is taking a significant step towards reducing preventable blindness by expanding access to its AI-powered diabetic retinopathy screening model in India and Thailand. – This initiative aims to address the growing need for accessible and efficient screening in regions with limited access to eye care specialists.
Sponsor: Hyland Primary topic: Patient Engagement Topic: Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Quality Care Care Short Headline: Give clinicians a comprehensive view of patient health Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed
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Health Care Compliance Brief brings together the best content for health law & compliance professionals from the widest variety of industry thought leaders.
Sponsor: Hyland Primary topic: Patient Engagement Topic: Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Quality Care Care Short Headline: Give clinicians a comprehensive view of patient health Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed
Sponsor: Hyland Primary topic: Interoperability Topic: Interoperability Patient Engagement Resource Central: White Papers External url: [link] Thumbnail: Body: Sponsor: Hyland Enterprise Taxonomy: Interoperability Quality Care Data and Information Care Short Headline: Delivering interoperability for connected care Region Tag: Global Edition Node settings: Exclude from Accelerate RSS feed
At the recent DirectTrust conference, Ken Romo, Global Director at ETHERFAX , shares with us that they are not just a fax company: He describes them as a cloud Infrastructure as a Service (IaaS) company offering a “secure exchange network” that also includes fax. On the fax side, they are moving from using phone lines to sending faxes over an encrypted tunnel over the Internet.
Enterprise Taxonomy: Telehealth Operations Patient Access Analytics AI Business Care Data and Information Node settings: Exclude from Accelerate RSS feed
Based on comprehensive survey data from diverse healthcare providers, the 2025 HIPAA Benchmark Report delivers actionable intelligence for modern compliance programs. This report examines how organizations are restructuring HIPAA Privacy Programs to address emerging regulatory requirements. Through analysis of staffing models, program operations, and breach management protocols, it provides a clear picture of current best practices.
This Strategic Acquisition Includes CEO Chris Gormley, who will lead the Company’s Employer Solutions and Marketplace Offering, to Help Employers Lower Total Costs, Reduce Waste and Compliance Risk, and Improve Retention and Hiring MedeAnalytics , a healthcare enterprise data enrichment platform and analytics software-as-a-service (SaaS) leader, announced the acquisition of SubPop Health with key assets specializing in fiduciary procurement marketplaces for employer healthcare benefits.
The country’s three largest Medicare Advantage (MA) insurers obstruct seniors’ ability to receive post-acute care, a scathing report from the U.S. | A report from Sen. Richard Blumenthal, D-Connecticut, found that the country's biggest Medicare Advantage insurers use artificial intelligence to control costs and deny prior auth claims.
Every health care provider that accepts federal payments must screen for excluded providers. Use this sample Exclusion Screening Checklist and Compliance Policy to evaluate and improve your organization’s compliance with the law. Payments from Medicare, Medicaid, and TriCare trigger screening requirements that may extend to employees, contractors, volunteers, board members, and network providers.
What You Should Know: – Ontada , a McKesson business specializing in oncology real-world data and evidence, has formed a strategic partnership with Microsoft to leverage the power of Azure AI in transforming cancer care. – The partnership will harness the capabilities of Azure OpenAI Service to efficiently process vast amounts of unstructured oncology data, unlocking valuable insights and ultimately improving patient outcomes.
Shash Anand, SVP, Product Strategy, SOTI Data is central to a wide range of exciting innovations in healthcare. Wearable devices that monitor vital signs in real-time. AI to predict protein folding , which may speed drug discovery and boost scientific understanding of complex interactions happening within cells. Predictive analytics tools that can identify potential health risks.
In healthcare, where patient data protection is paramount, effective vendor risk management isn't just good business—it's essential for maintaining compliance and trust. This comprehensive guide helps healthcare compliance professionals navigate the complexities of third-party vendor relationships in an increasingly interconnected healthcare environment.
Elevance Health fell short of Wall Street analysts' predictions, posting $1 billion in profit amid rising medical costs. | Elevance Health fell short of Wall Street analysts' predictions, posting $1 billion in profit amid rising medical costs.
Sarah Danielson, MS, MBA, CPDHTS, CDH-L, FACHDM, Sr Director, Strategy & Advisory, Health Solutions Group at Trace3 With healthcare data breaches on the rise and concerns about patient privacy escalating, the role of AI in anomaly detection is becoming increasingly critical. To address these challenges and improve patient data security, AI-driven anomaly detection is emerging as a critical solution.
Think in Threes to Maximize Health Plan ROI on Electronic Prior Authorization | Prior Auth typically involves integration of information from at least three systems – start connecting your team today.
What You Should Know: – Health Note , a leading AI-driven intake company, is announcing the launch of the Health Note AI Scribe, further freeing clinicians from hours of manual documentation. – With this new product, Health Note becomes the first company to coordinate medical documentation before, during, and after each visit. Streamlining Clinical Workflows with Health Note’s Intelligent Patient Intake Platform Health Note is the first clinically intelligent platform designed to
Payroll compliance is a cornerstone of business success, yet for small and midsize businesses, it’s becoming increasingly challenging to navigate the ever-evolving landscape of federal, state, and local regulations. Mistakes can lead to costly penalties and operational disruptions, making it essential to adopt advanced solutions that ensure accuracy and efficiency.
What You Should Know: – Healthcare technology company Komodo Health today launches a new product, National Drug Projection s, bringing its customers a clear, complete, and detailed view of how many prescriptions are filled across the country for any group of medications. -The new solution unlocks real-time market landscape intelligence, such as prescription volume, units dispensed, and new patient starts, to deliver an in-depth understanding of treatment dynamics that can better inform re
Dr. Kate McLean, Chief Medical Officer at Evvy What You Should Know: – Evvy , a female-founded biotech startup revolutionizing women’s health, has announced the appointment of Dr. Kate McLean as its first Chief Medical Officer (CMO). – As CMO, Dr. McLean will focus on expanding its patient offerings, uncovering new biomarkers, and building new strategic partnerships.
Healthcare communication has evolved from handwritten notes and paper charts to digital tools like EHRs, telemedicine, and AI-powered platforms. This blog explores how these advancements improve patient outcomes, streamline care delivery, and enhance provider collaboration. Learn about the role of mobile health (mHealth) apps, secure messaging, and social media in bridging communication gaps.
What You Should Know: – A new survey from PwC highlights significant disparities in how consumers experience the U.S. healthcare system with 65% of consumers revealing they do not seek healthcare until it’s urgent. – The 2024 Healthcare Consumer Insights Survey reveals concerning trends in affordability, preventive care, and technology adoption, underscoring the need for personalized and accessible solutions.
What You Should Know: – Wisp , a women’s telehealth platform in the U.S., is significantly expanding its services to include weight management and enhanced menopause care. – Wisp’s expansion into weight management and enhanced menopause offerings reflect its commitment to providing comprehensive care for women at all stages of life.
Let's discuss the trusty pager—an old favorite that’s losing its shine in hospitals and clinics. While once a staple in hospitals and clinics, pagers now present significant limitations that hinder rather than facilitate communication among healthcare professionals. Healthcare professionals are constantly on the move, and they need communication tools that can keep up with their fast-paced lives.
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