Sat.Jan 06, 2024 - Fri.Jan 12, 2024

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Understanding Sanction Screening: Safeguarding Healthcare Integrity Under HIPAA

Total Medical ComplianceHIPAA

In the intricate landscape of healthcare, compliance with regulations isn’t just a choice but a necessity. HIPAA stands as a beacon of privacy and security standards within the industry. Among its many components, one crucial element often overlooked yet central is sanction screening. What is Sanction Screening? Sanction screening involves the meticulous examination of individuals and entities involved in healthcare to ensure they’re not excluded from federal or state healthcare prog

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Spring Forward With 2024 Compliance Changes

MedTrainer

It may seem a little early to do some spring cleaning, but not when it comes to compliance! It’s that time of the year to check your records for 2023 compliance deficiencies and set your organization up for success in 2024. The concept of “Springing in the New Year” starts with giving up those bad compliance habits that always put you behind and your organization at risk.

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Selecting a Healthcare Compliance Certification Program

Compliancy Group

Compliance plays a crucial role in maintaining integrity and quality of care in healthcare. With increasing regulations and scrutiny, organizations are recognizing the importance of having professionals who possess a comprehensive understanding of healthcare compliance. That’s where healthcare compliance certification comes into play. What is Healthcare Compliance Certification?

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Documentation and Provider Standards Training

American Medical Compliance

The following Documentation and Provider Standards Training educates healthcare providers on the significance of documentation compliance in healthcare. It also provides an introduction to all things related to healthcare compliance, which is important for all healthcare facilities to know about. What you will learn: Standards for medical documentation Legal requirements in healthcare documentation How to accurately record patient information Common errors in healthcare documentation Profession

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Bridging Innovation & Patient Care: The Growing Role of AI

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!

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Strategies for Higher Claim Acceptance Rates

Medisys Compliance

Introduction For solo practitioners and small healthcare providers juggling both patient care and medical billing, every step counts. Among the critical metrics in your revenue cycle management, ‘claim acceptance rates’ reign supreme. Higher first-pass claim acceptance, meaning claims paid without delays or denials, translates to faster cash flow, reduced administrative burden, and happier patients.

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Generative AI can identify social determinants of health data in notes, study finds

Healthcare Dive

Finely tuned models showed success in consistently extracting information like housing or employment status that often isn’t systematically organized in clinical notes.

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Indonesia expands robotic telesurgery project with Iran

Healthcare IT News - Telehealth

Robotic telesurgery continues to take off in Indonesia with the support of the government of Iran. The Robotic Telesurgery Center, a project between the two governments, is being expanded to connect the western and eastern islands of Indonesia at a distance of 3,500 kilometres. The Haji Adam Malik Central General Hospital, North Sumatra in western Indonesia and the Dr Wahidin Sudirohusodo Makassar, Sulawesi in eastern Indonesia recently signed a memorandum of understanding to join the project.

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Six Opportunities to Use the Law to Support Harm Reduction

Bill of Health

By Jon Larsen and Sterling Johnson Harm reduction in the context of the opioid crisis is focused on preventing overdose and infectious disease transmission by working with people who use drugs without moral judgment. Far too often, the public health imperative of harm reduction is blocked by federal policy, state laws, and other structural barriers anchored in the “war on drugs” that reduce the effectiveness of harm reduction efforts.

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Healthcare technology trends to watch in 2024

Healthcare Dive

Experts discuss their predictions for healthcare industry trends, including investment and consolidation in digital health, adoption of artificial intelligence and improving cybersecurity in healthcare in 2024.

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Growing AI adoption for fall prediction in Singapore and other AI integrations across APAC

Healthcare It News

New AI fall prediction tool gains ground in Singapore Nanyang Polytechnic (NYP) is expanding the trial of its new AI-based fall prediction tool. Co-developed with medical technology company Longway AI Technologies, the AI system was trained via a 3D convolutional neural network, a deep learning model that teaches a computer to process data the way the human brain and nervous system do.

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HIPAA Compliance 2025: Navigating Regulatory Changes & Industry Trends

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.

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Geisinger gets USDA rural development grant for inpatient virtual nursing

Healthcare IT News - Telehealth

Danville, Pennsylvania-based Geisinger this week announced that it has received a $948,741 grant from the U.S. Department of Agriculture Rural Development, which it will use to build out its virtual inpatient nursing program. WHY IT MATTERS With the grant, disbursed as part of the USDA's Distance Learning and Telemedicine program, will be used to outfit Geisinger Medical Center and Geisinger Shamokin Area Community Hospital with new telehealth technologies as part of Geisinger's Virtual

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NHSE to investigate Palantir for possible breach of FDP contract

Digital Health News

NHS England will investigate whether US data analytics giant Palantir violated the terms of its contract to run the Federated Data Platform.

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Kentucky-based Baptist Health drops UnitedHealthcare, Centene MA plans

Healthcare Dive

Kentucky-based Baptist Health has gone out of network with UnitedHealthcare and Centene’s WellCare Medicare Advantage plans after failing to agree to contract terms.

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HIMSSCast: How Karmanos Cancer Institute uses AI to find high-risk breast cancer

Healthcare It News

Detroit-based Karmanos Cancer Institute, a network of 16 treatment locations across Michigan and Ohio that is part of McLaren Health Care, is using artificial intelligence to elevate risk assessment and is surfacing high-risk breast cancer patients who would benefit from supplemental care and imagery. With women having a one in eight chance of developing breast cancer over their lifetimes, according to the American Cancer Society, finding breast cancer at earlier stages has moved the needle on s

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Simplify Screening for Excluded Providers

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.

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UnitedHealth Group kicks off payer earnings, reports $5.5B in Q4 profit

Fierce Healthcare

Industry giant UnitedHealth Group kicked off fourth-quarter earnings for major payers on Friday morning, where it reported $5.5 billion in profit. | Industry giant UnitedHealth Group kicked off fourth-quarter earnings for major payers on Friday morning, where it reported $5.5 billion in profit.

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Mary Lou Retton’s Explanation of Health Insurance Takes Some Somersaults

Kaiser Health News

Former Olympic gymnast Mary Lou Retton spoke out last week on the NBC “Today” show about what she said was a rare pneumonia that almost killed her and resulted in an expensive, monthlong hospital stay. It was a shocking reveal. One key comment jumped out for those who follow health policy: Retton said she was uninsured, blaming that lack of coverage on 30 orthopedic surgeries that count as “preexisting conditions,” a divorce, and her poor finances. “I just couldn

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Mortality rates low for hospital-at-home patients, study finds

Healthcare Dive

The study could support extending acute hospital care at home, researchers said. Currently, a pandemic-era waiver for the programs is set to expire at the end of the year.

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Mass General Brigham CMIO on AI: 'exciting, but a little anxiety-provoking'

Healthcare It News

Editor's Note: This is the fifth in a series of features on top voices in health IT discussing the use of artificial intelligence in healthcare. To read the first feature, on Dr. John Halamka at the Mayo Clinic, click here. To read the second interview, with Dr. Aalpen Patel at Geisinger, click here. To read the third, with Helen Waters of Meditech, click here.

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Navigating Payroll Compliance: Future-Proofing Payroll in an Evolving Regulatory Landscape

Speaker: Jennifer Hill

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.

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JPM24: Amazon rolls out service to connect customers with digital health benefits, taps Omada Health as launch partner

Fierce Healthcare

SAN FRANCISCO—Amazon plans to collaborate with digital health companies to connect customers with virtual care benefits for managing conditions like diabetes and hypertension. | Amazon plans to collaborate with digital health companies to connect customers with virtual care benefits for managing conditions like diabetes and hypertension. The online retail giant tapped virtual-first chronic care provider Omada Health as its first partner.

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Three Ways AI-Powered Automation is Assisting Healthcare Workers

Healthcare IT Today

The following is a guest article by Jason Warrelmann, Vice President, Global Services & Process Industries at UiPath From battling COVID-19 surges to an increase in respiratory syncytial virus (RSV), and this year’s cold and flu season, physicians and their staffs continue to navigate one of the busiest times of the year. This, coupled with national healthcare worker shortages, means that healthcare workers are feeling heightened patient volumes and stress levels.

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Amazon launches chronic condition management portal; Omada nabs first partnership

Healthcare Dive

The new program surfaces eligible benefits for weight management, diabetes and other cardiometabolic conditions when users search Amazon for related devices, like a glucose monitor.

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UpDoc to develop conversational, assistant-directed AI providers

Healthcare It News

All care delivered through UpDoc's artificial intelligence-based remote patient providers would be prescribed by physicians or clinical pharmacists who oversee the platform, the company said in an announcement on Friday. WHY IT MATTERS UpDoc's remote patient intervention technology leverages conversational AI powered by multiplelarge language models, including GPT-4 through Microsoft's Azure Open AI Service, Google Cloud's MedLM and Vertex AI models.

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The Evolution of Communication in Healthcare Settings

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.

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CES 2024: Older seniors are happily living with AI—in the form of chatty robot ElliQ

Fierce Healthcare

LAS VEGAS — With all the buzz and headlines about artificial intelligence, there is one demographic that is quietly embracing the technology and even building long-term relationships with it. | With all the buzz and headlines about artificial intelligence, there is one demographic that is quietly embracing the technology and even building long-term relationships with it.

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Vivoo to launch new at-home smart UTI test at CES 2024

Digital Health News

Visitors to CES 2024 will be able to find out more about the new at-home urinary tract test from Vivoo, which uses deep learning image processing tech.

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Billing for patient messages to clinicians is increasing, study finds

Healthcare Dive

An upturn in the number of providers charging for messages suggests organizations now see e-visits as a long-term source of potential revenue, researchers said.

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Virtual group therapy enables Geisinger to treat more patients and maintain care continuity

Healthcare It News

At the start of the COVID-19 pandemic, the department of psychiatry and behavioral health at Geisinger began experiencing a significant increase in demand for behavioral health services. THE PROBLEM The demand for services was most noticeable for adult psychotherapy services, with waits as long as several months and several thousand outstanding orders.

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Healthcare Vendor Risk Management: Strategies for Protected Data

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.

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CES 2024: Elevance Health launches program to provide digital health-enabled smartphones to Medicaid members

Fierce Healthcare

In the wake of the COVID-19 pandemic, virtual care and digital health tools are more popular than ever. | Elevance Health is launching a new initiative that aims to put smartphones in the hands of Medicaid members who otherwise cannot connect to virtual services.

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Why HHS’ Cybersecurity Concept Paper Falls Short for Healthcare

Healthcare IT Today

The following is a guest article by Chris Bowen, Founder and CISO at ClearDATA The recent Cybersecurity concept paper from HHS, while a gesture towards progress, falls critically short of what’s imperative in today’s climate. In an era where the HHS itself notes a 93% increase in large healthcare data breaches from 2018 to 2022, as well as a 278% increase in those that involve ransomware, suggesting “voluntary cybersecurity goals” is akin to applying a band-aid on a hemorrhage.

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ACA enrollment for 2024 reaches record high

Healthcare Dive

More than 20 million Americans have signed up for Affordable Care Act plans since open enrollment began in November. Sign-ups are expected to continue to grow.

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China doubles down on smart medicine

Healthcare It News

More healthcare stakeholders in China are contributing to the government's vision to make smart Chinese medicine popular and standardised. In December, the Hong Kong Baptist University (HKBU) and China Resources Research Institute of Science and Technology, a subsidiary of consumer goods conglomerate China Resources Enterprise (CR Enterprise), entered into an R&D agreement to establish the CR-BU Joint Innovation Centre on Smart Chinese Medicine.

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3 Reasons to Retire Pagers from Healthcare Settings

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.