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RAG in Healthcare: Your Complete Guide to Its Implementation

Arkenea

. ” RAG powered clinical decision support systems can: Analyze patient symptoms against your hospital’s historical cases and outcomes Recommend treatment protocols based on your organization’s success rates Flag potential drug interactions using your current formulary Suggest diagnostic procedures based on your equipment availability (..)

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2025 Guide to Billing in Hospital Management Systems

Arkenea

These sophisticated platforms must navigate an increasingly complex landscape of insurance policies, regulatory requirements, and technological demands while maintaining the highest standards of data security and patient privacy. Advanced systems include claim scrubbing capabilities that identify and correct common errors before submission.

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June 2025 Healthcare Data Breach Report

The HIPAA Journal

Biggest Healthcare Data Breaches in June 2025 The biggest data breach of the month was reported by Episource, an Optum subsidiary that provides medical coding, risk adjustment services, and software solutions for healthcare providers and health plans. million individuals. dba Frank D.

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Supreme Court allows states to cut Medicaid funding for Planned Parenthood

Healthcare Dive - Practice Management

Plaintiffs argued the executive order violated a federal “free choice of provider clause” that guarantees Medicaid beneficiaries the right to choose their doctor, so long as they are qualified and accept the insurance. Justice Neil Gorsuch, writing the majority opinion, said the law provided no such explicit guarantee.

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Health plans have a behavioral health problem and the answer is hiding in their data

Healthcare Dive - Practice Management

Editors picks Anna Moneymaker/Getty Images via Getty Images CMS expands audits to crack down on Medicare Advantage overpayments The agency said it would increase the number of MA plan audits and complete its backlog of reviews by investing in technology and growing its medical coding workforce. Follow the changes here.

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UnitedHealth changes leadership at care delivery unit

Healthcare Dive - Practice Management

In May, three investment banks downgraded UnitedHealth , citing increased utilization challenges for its insurer UnitedHealthcare and a report that the company is under investigation by the Department of Justice. Plus, some complex patients have been affected by changes to MA risk modeling, executives said. Follow the changes here.

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Elevating patient satisfaction through foodservice: The importance of equipment performance

Healthcare Dive - Practice Management

Investing in Performance, Reaping the Scores Leading hospitals are increasingly investing in preventative maintenance programs to minimize equipment downtime, as well as energy-efficient and smart kitchen technologies that offer real-time diagnostics and improved uptime.